| El Puerto Medical Group, Inc. | |
|
1334 N. Avalon Blvd Wilmington CA 90744-4516 | |
| (310) 835-4000 | |
| (310) 835-4012 |
| Full Name | El Puerto Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1334 N. Avalon Blvd, Wilmington, California |
| Authorized Official Name and Position | Ruben Sangalang Casabar (PRESIDENT) |
| Authorized Official Contact | 3108354000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Puerto Medical Group, Inc. 1334 N Avalon Blvd Wilmington CA 90744-2639 Ph: (310) 835-4000 | El Puerto Medical Group, Inc. 1334 N. Avalon Blvd Wilmington CA 90744-4516 Ph: (310) 835-4000 |
| NPI Number | 1619077013 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 09/18/2013 |
| Medicare PECOS PAC ID | 9830276716 |
|---|---|
| Medicare Enrollment ID | O20080402000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619077013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ruben S Casabar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104910629 PECOS PAC ID: 0042207656 Enrollment ID: I20040427000577 |
Bhs - El Puerto Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1334 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-835-4009 Fax: 310-679-2920 | |
Harbor Comprehensive Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 Figueroa St, Wilmington, CA 90744 Phone: 310-830-0863 Fax: 310-830-0863 | |
Wilmington Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 W Anaheim St, Wilmington, CA 90744 Phone: 310-549-5760 | |
Wilmington Subcenter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 562-804-8101 | |
Nationwide Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-513-1300 Fax: 310-513-1311 | |
United Physician Multispecialty Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 E Pacific Coast Hwy, Wilmington, CA 90744 Phone: 310-549-6950 | |
Shalom Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 N Wilmington Blvd, Wilmington, CA 90744 Phone: 310-835-1414 Fax: 310-835-4050 |