| Clinica Medica Virgen De Guadalupe #2 | |
|
6831 Seville Ave Huntington Park CA 90255-4805 | |
| (323) 581-8234 | |
| (323) 581-0393 |
| Full Name | Clinica Medica Virgen De Guadalupe #2 |
|---|---|
| Speciality | General Practice |
| Location | 6831 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Corina Ayers (ADMINISTRATOR) |
| Authorized Official Contact | 3235818234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Virgen De Guadalupe #2 6831 Seville Ave Huntington Park CA 90255-4805 Ph: (323) 581-8234 | Clinica Medica Virgen De Guadalupe #2 6831 Seville Ave Huntington Park CA 90255-4805 Ph: (323) 581-8234 |
| NPI Number | 1033240650 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810955655 |
|---|---|
| Medicare Enrollment ID | O20041228000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033240650 | NPI | - | NPPES |
| GR0067941 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A61918 (California) | Primary |
| 208D00000X | General Practice | A048644 (California) | Primary |
| Provider Name | Humberto Herrera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174543326 PECOS PAC ID: 1254480833 Enrollment ID: I20090602000067 |
| Provider Name | Violeta A Galdamez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316078165 PECOS PAC ID: 2961460605 Enrollment ID: I20120607000118 |
| Provider Name | Luis A Galdamez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679604417 PECOS PAC ID: 7416915152 Enrollment ID: I20120703000651 |
| Provider Name | Monica Irene Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861151045 PECOS PAC ID: 0345615811 Enrollment ID: I20230414001184 |
Optimal Care Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 E Slauson Ave, Huntington Park, CA 90255 Phone: 323-749-6777 Fax: 323-835-6035 | |
Los Angeles Clinica Medica General Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Pacific Blvd Ste Ab, Huntington Park, CA 90255 Phone: 323-583-8383 Fax: 323-583-8399 | |
The Oasis Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Huntington Park, CA 90255 Phone: 323-200-4525 | |
Union Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5421 Pacific Blvd, Huntington Park, CA 90255 Phone: 323-587-9141 Fax: 323-587-6074 | |
John Paul Ii Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6529 Seville Ave, Huntington Park, CA 90255 Phone: 323-582-5770 Fax: 323-582-1103 | |
Paul M Baylon Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 E Florence Ave, Huntington Park, CA 90255 Phone: 323-587-1616 Fax: 323-587-1767 |