| Fcs Medical Corporation | |
|
815 Washington Blvd Montebello CA 90640-6123 | |
| (323) 728-3955 | |
| (323) 728-6905 |
| Full Name | Fcs Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 815 Washington Blvd, Montebello, California |
| Authorized Official Name and Position | Luis Ramon Samaniego (GROUP PRESIDENT) |
| Authorized Official Contact | 3232555643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcs Medical Corporation 5823 York Blvd Suite 3 Los Angeles CA 90042-2634 Ph: (323) 255-5643 | Fcs Medical Corporation 815 Washington Blvd Montebello CA 90640-6123 Ph: (323) 728-3955 |
| NPI Number | 1740233725 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740233725 | NPI | - | NPPES |
| CQ2165 | Other | GA | RAILROAD MEDICARE GROUP |
| ZZZ22101Z | Other | CA | BLUE SHIELD GROUP ID |
| W10759A | Other | CA | MEDICARE GROUP ID |
| GR0040672 | Other | CA | MEDICAID GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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