| Desert Primary Quality Healthcare Inc | |
|
450 E Birch St Calexico CA 92231-2375 | |
| (760) 768-6262 | |
| (760) 344-7106 |
| Full Name | Desert Primary Quality Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 E Birch St, Calexico, California |
| Authorized Official Name and Position | Julio Martinez (CEO) |
| Authorized Official Contact | 7605786470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Primary Quality Healthcare Inc 450 E Birch St Calexico CA 92231-2375 Ph: (760) 768-6262 | Desert Primary Quality Healthcare Inc 450 E Birch St Calexico CA 92231-2375 Ph: (760) 768-6262 |
| NPI Number | 1801524723 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 9032564984 |
|---|---|
| Medicare Enrollment ID | O20231012000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801524723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julio C Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710974084 PECOS PAC ID: 1557317005 Enrollment ID: I20050406001235 |
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