| Clinica Monsignor Oscar A Romero | |
|
123 S Alvarado Street Los Angeles CA 90057-2201 | |
| (213) 989-7700 | |
| (213) 989-7702 |
| Full Name | Clinica Monsignor Oscar A Romero |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 S Alvarado Street, Los Angeles, California |
| Authorized Official Name and Position | Sandra Rossato (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2132012737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Monsignor Oscar A Romero 123 S Alvarado Street Los Angeles CA 90057-2201 Ph: (213) 989-7700 | Clinica Monsignor Oscar A Romero 123 S Alvarado Street Los Angeles CA 90057-2201 Ph: (213) 989-7700 |
| NPI Number | 1275629495 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 2264490218 |
|---|---|
| Medicare Enrollment ID | O20041222000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275629495 | NPI | - | NPPES |
| FHC70567F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960000308 (California) | Primary |
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