| Clinica Familia De Santa Maria Inc | |
|
935 E Pennsylvania Ave Escondido CA 92025-3425 | |
| (760) 747-7512 | |
| Not Available |
| Full Name | Clinica Familia De Santa Maria Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 935 E Pennsylvania Ave, Escondido, California |
| Authorized Official Name and Position | Ving Yam (CEO) |
| Authorized Official Contact | 7607477512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Familia De Santa Maria Inc 935 E Pennsylvania Ave Escondido CA 92025-3425 Ph: (760) 747-7512 | Clinica Familia De Santa Maria Inc 935 E Pennsylvania Ave Escondido CA 92025-3425 Ph: (760) 747-7512 |
| NPI Number | 1033387956 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 04/10/2009 |
| Medicare PECOS PAC ID | 7719034818 |
|---|---|
| Medicare Enrollment ID | O20090407000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033387956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8738 (California) | Primary |
| Provider Name | Ving Yam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912941824 PECOS PAC ID: 5496751893 Enrollment ID: I20061006000564 |
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