Clinica Medica Eco | |
4900 Arlington Ave Riverside CA 92504-2780 | |
(951) 688-0136 | |
(951) 688-0137 |
Full Name | Clinica Medica Eco |
---|---|
Speciality | General Practice |
Location | 4900 Arlington Ave, Riverside, California |
Authorized Official Name and Position | Jose Manuel Diaz (PRESIDENT/OWNER) |
Authorized Official Contact | 9516880136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinica Medica Eco 4900 Arlington Ave Riverside CA 92504-2780 Ph: (951) 688-0136 | Clinica Medica Eco 4900 Arlington Ave Riverside CA 92504-2780 Ph: (951) 688-0136 |
NPI Number | 1881142545 |
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Provider Enumeration Date | 09/12/2016 |
Last Update Date | 09/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881142545 | NPI | - | NPPES |
16852 | Other | CA | PA LICENSE NUMBER |
A76805 | Other | CA | MEDICAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A76805 (California) | Primary |
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