| Citrus Valley Family Medical Clinic, Inc. | |
|
1400 N Hacienda Blvd La Puente CA 91744-1187 | |
| (626) 931-2200 | |
| (626) 931-2203 |
| Full Name | Citrus Valley Family Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1400 N Hacienda Blvd, La Puente, California |
| Authorized Official Name and Position | Jorge I Jaramillo (PRESIDENT) |
| Authorized Official Contact | 6269312200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Valley Family Medical Clinic, Inc. 1400 N Hacienda Blvd La Puente CA 91744-1187 Ph: (626) 931-2200 | Citrus Valley Family Medical Clinic, Inc. 1400 N Hacienda Blvd La Puente CA 91744-1187 Ph: (626) 931-2200 |
| NPI Number | 1598833469 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598833469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A48167 (California) | Primary |
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