Core Healthcare Group | |
19123 Bloomfield Ave Cerritos CA 90703-7104 | |
(562) 924-8880 | |
(562) 924-8883 |
Full Name | Core Healthcare Group |
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Speciality | Family Medicine |
Location | 19123 Bloomfield Ave, Cerritos, California |
Authorized Official Name and Position | Francisco Licopit Badar (PRESIDENT) |
Authorized Official Contact | 5629248880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Core Healthcare Group 19123 Bloomfield Ave Cerritos CA 90703-7104 Ph: (562) 924-8880 | Core Healthcare Group 19123 Bloomfield Ave Cerritos CA 90703-7104 Ph: (562) 924-8880 |
NPI Number | 1962657544 |
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Provider Enumeration Date | 11/24/2008 |
Last Update Date | 06/23/2015 |
Medicare PECOS PAC ID | 7315002193 |
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Medicare Enrollment ID | O20090211000039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962657544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A103012 (California) | Primary |
Provider Name | Francisco L Badar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760667729 PECOS PAC ID: 3577627280 Enrollment ID: I20090211000034 |
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