| Del-carmen Medical Group | |
|
19234 Vanowen St Reseda CA 91335-5000 | |
| (310) 914-9150 | |
| (310) 914-9750 |
| Full Name | Del-carmen Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 19234 Vanowen St, Reseda, California |
| Authorized Official Name and Position | Marvin Pietruszka (MEDICAL DOCTOR) |
| Authorized Official Contact | 3109149150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Del-carmen Medical Group 19234 Vanowen St Reseda CA 91335-5000 Ph: (310) 914-9150 | Del-carmen Medical Group 19234 Vanowen St Reseda CA 91335-5000 Ph: (310) 914-9150 |
| NPI Number | 1386757086 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386757086 | NPI | - | NPPES |
| 00A308580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A30858 (California) | Primary |
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