Cordelia Lieberman Sotelo Medical Doctor Md | |
1777 N Bellflower Blvd Ste 210 Long Beach CA 90815-4020 | |
(562) 248-2999 | |
(562) 248-2998 |
Full Name | Cordelia Lieberman Sotelo Medical Doctor Md |
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Speciality | Family Medicine |
Location | 1777 N Bellflower Blvd Ste 210, Long Beach, California |
Authorized Official Name and Position | Cordelia Lieberman Sotelo (CEO) |
Authorized Official Contact | 5622482999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cordelia Lieberman Sotelo Medical Doctor Md 220 Bennett Ave Long Beach CA 90803-1526 Ph: (323) 270-1479 | Cordelia Lieberman Sotelo Medical Doctor Md 1777 N Bellflower Blvd Ste 210 Long Beach CA 90815-4020 Ph: (562) 248-2999 |
NPI Number | 1346076155 |
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Provider Enumeration Date | 09/09/2024 |
Last Update Date | 09/09/2024 |
Medicare PECOS PAC ID | 8224561899 |
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Medicare Enrollment ID | O20241104003752 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346076155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cordelia C Sotelo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982859633 PECOS PAC ID: 5597809319 Enrollment ID: I20100217000591 |
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