Durfee Family Care Medical Group A Professional Corporation | |
2006 Durfee Ave South El Monte CA 91733-3713 | |
(626) 442-5015 | |
(626) 442-7810 |
Full Name | Durfee Family Care Medical Group A Professional Corporation |
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Speciality | Family Medicine |
Location | 2006 Durfee Ave, South El Monte, California |
Authorized Official Name and Position | Ishak Bishara (OWNER) |
Authorized Official Contact | 6264425015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Durfee Family Care Medical Group A Professional Corporation 2006 Durfee Ave South El Monte CA 91733-3713 Ph: (626) 442-5015 | Durfee Family Care Medical Group A Professional Corporation 2006 Durfee Ave South El Monte CA 91733-3713 Ph: (626) 442-5015 |
NPI Number | 1972828085 |
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Provider Enumeration Date | 03/31/2010 |
Last Update Date | 06/21/2016 |
Medicare PECOS PAC ID | 6406032796 |
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Medicare Enrollment ID | O20110523000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972828085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A04531 (California) | Primary |
Provider Name | Ishak Bishara |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467536987 PECOS PAC ID: 7214113505 Enrollment ID: I20110523000217 |
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San Gabriel Valley Health Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9646 Garvey Ave Ste 101, South El Monte, CA 91733 Phone: 626-450-0777 |