| First Fountains Medical Center Inc. | |
|
1480 S Harbor Blvd Ste 1 La Habra CA 90631-7506 | |
| (714) 255-1148 | |
| (714) 482-0778 |
| Full Name | First Fountains Medical Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1480 S Harbor Blvd Ste 1, La Habra, California |
| Authorized Official Name and Position | Ker-chow Chang (PRESIDENT) |
| Authorized Official Contact | 7142551148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Fountains Medical Center Inc. 1480 S Harbor Blvd Ste 1 La Habra CA 90631-7506 Ph: (714) 255-1148 | First Fountains Medical Center Inc. 1480 S Harbor Blvd Ste 1 La Habra CA 90631-7506 Ph: (714) 255-1148 |
| NPI Number | 1043304025 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043304025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A48893 (California) | Primary |
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