Fc Comprehensive Healthcare | |
1410 W Alondra Blvd Compton CA 90220-3533 | |
(310) 933-8755 | |
(310) 933-8738 |
Full Name | Fc Comprehensive Healthcare |
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Speciality | General Practice |
Location | 1410 W Alondra Blvd, Compton, California |
Authorized Official Name and Position | Teodulo Bonzon (CFO) |
Authorized Official Contact | 8188464469 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fc Comprehensive Healthcare 4525 Eagle Rock Blvd Los Angeles CA 90041-3214 Ph: (818) 846-4469 | Fc Comprehensive Healthcare 1410 W Alondra Blvd Compton CA 90220-3533 Ph: (310) 933-8755 |
NPI Number | 1861106908 |
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Provider Enumeration Date | 01/12/2023 |
Last Update Date | 06/13/2024 |
Medicare PECOS PAC ID | 4981079829 |
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Medicare Enrollment ID | O20230407000589 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861106908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Gladelynn L Adlao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881012193 PECOS PAC ID: 5597982306 Enrollment ID: I20140818002203 |
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