| Chapcare-peck | |
|
3703 Peck Rd Suite A - C El Monte CA 91731-3543 | |
| (626) 993-1238 | |
| (626) 993-1288 |
| Full Name | Chapcare-peck |
|---|---|
| Speciality | Clinic/Center |
| Location | 3703 Peck Rd, El Monte, California |
| Authorized Official Name and Position | Margaret Banda Martinez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6269931227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapcare-peck 455 W Montana St Pasadena CA 91103-1327 Ph: (626) 993-1238 | Chapcare-peck 3703 Peck Rd Suite A - C El Monte CA 91731-3543 Ph: (626) 993-1238 |
| NPI Number | 1477924520 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 04/18/2017 |
| Medicare PECOS PAC ID | 4789628512 |
|---|---|
| Medicare Enrollment ID | O20200820003067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477924520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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