| Clinica Medica La Sagrada Familia A Professional Medical Corp | |
|
15955 Paramount Blvd Unit A Paramount CA 90723-5144 | |
| (562) 531-9806 | |
| (562) 531-1394 |
| Full Name | Clinica Medica La Sagrada Familia A Professional Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 15955 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Marvin Canlas Trani (PRESIDENT/CEO) |
| Authorized Official Contact | 5625319806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica La Sagrada Familia A Professional Medical Corp 15955 Paramount Blvd Unit A Paramount CA 90723-5144 Ph: (562) 531-9806 | Clinica Medica La Sagrada Familia A Professional Medical Corp 15955 Paramount Blvd Unit A Paramount CA 90723-5144 Ph: (562) 531-9806 |
| NPI Number | 1578567038 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 1456393149 |
|---|---|
| Medicare Enrollment ID | O20050523001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578567038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | A48853 (California) | Secondary |
| Provider Name | Sergio I Trani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891720884 PECOS PAC ID: 4284665449 Enrollment ID: I20050826000665 |
| Provider Name | Marvin Canlas Trani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457856387 PECOS PAC ID: 4082045968 Enrollment ID: I20211020002534 |
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