Drmovi, Inc | |
6850 Lincoln Ave Ste 102 Buena Park CA 90620-4179 | |
(909) 345-5111 | |
Not Available |
Full Name | Drmovi, Inc |
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Speciality | Family Medicine |
Location | 6850 Lincoln Ave Ste 102, Buena Park, California |
Authorized Official Name and Position | Gloria Lina (ADMINISTRATIVE) |
Authorized Official Contact | 9093455111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drmovi, Inc 1360 Valley Vista Dr Ste 209 Diamond Bar CA 91765-3953 Ph: (909) 345-5111 | Drmovi, Inc 6850 Lincoln Ave Ste 102 Buena Park CA 90620-4179 Ph: (909) 345-5111 |
NPI Number | 1942834189 |
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Provider Enumeration Date | 02/26/2020 |
Last Update Date | 03/02/2020 |
Medicare PECOS PAC ID | 0244661692 |
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Medicare Enrollment ID | O20200519001256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942834189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Hermilito Villar |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710946009 PECOS PAC ID: 4486729720 Enrollment ID: I20120305000235 |
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