| Eastgate Medical Center | |
|
11741 Valley View St A Cypress CA 90630-5500 | |
| (714) 897-1071 | |
| (714) 897-0125 |
| Full Name | Eastgate Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11741 Valley View St, Cypress, California |
| Authorized Official Name and Position | Richard John Winkle (ADMINISTRATOR PROVIDER) |
| Authorized Official Contact | 7148971071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastgate Medical Center 11741 Valley View St A Cypress CA 90630-5500 Ph: (714) 897-1071 | Eastgate Medical Center 11741 Valley View St A Cypress CA 90630-5500 Ph: (714) 897-1071 |
| NPI Number | 1932228764 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932228764 | NPI | - | NPPES |
| GR0080880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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