| El Dorado Community Service Center | |
|
472 S Citrus Ave Azusa CA 91702-4733 | |
| (626) 858-9500 | |
| Not Available |
| Full Name | El Dorado Community Service Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 472 S Citrus Ave, Azusa, California |
| Authorized Official Name and Position | Seanjay Ramanand Sharma (PRESIDENT) |
| Authorized Official Contact | 6612546630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Community Service Center 26460 Summit Cir Santa Clarita CA 91350-2991 Ph: () - | El Dorado Community Service Center 472 S Citrus Ave Azusa CA 91702-4733 Ph: (626) 858-9500 |
| NPI Number | 1912254418 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912254418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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