| Copa De Oro Medical Group Inc | |
|
12052 Imperial Hwy Ste 102 Norwalk CA 90650-3091 | |
| (310) 404-7171 | |
| Not Available |
| Full Name | Copa De Oro Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12052 Imperial Hwy Ste 102, Norwalk, California |
| Authorized Official Name and Position | Bahman Chavoshan (OWNER) |
| Authorized Official Contact | 5622619330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copa De Oro Medical Group Inc 12052 Imperial Hwy Ste 102 Norwalk CA 90650-3091 Ph: (562) 261-9330 | Copa De Oro Medical Group Inc 12052 Imperial Hwy Ste 102 Norwalk CA 90650-3091 Ph: (310) 404-7171 |
| NPI Number | 1366214413 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366214413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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