Clinica Medica Familiar La Puente | |
1840 N Hacienda Blvd Ste 3 La Puente CA 91744-1143 | |
(626) 350-7088 | |
(626) 350-8850 |
Full Name | Clinica Medica Familiar La Puente |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1840 N Hacienda Blvd Ste 3, La Puente, California |
Authorized Official Name and Position | Cesar A Rodriguez (MEDICAL DIRECTOR/ OWNER) |
Authorized Official Contact | 3239842916 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinica Medica Familiar La Puente 1840 N Hacienda Blvd Ste 3 La Puente CA 91744-1143 Ph: (626) 350-7088 | Clinica Medica Familiar La Puente 1840 N Hacienda Blvd Ste 3 La Puente CA 91744-1143 Ph: (626) 350-7088 |
NPI Number | 1053692434 |
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Provider Enumeration Date | 08/30/2011 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053692434 | NPI | - | NPPES |
00A661590 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A 66159 (California) | Primary |
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