Foothill Primary Care, Inc. | |
931 Buena Vista St Ste 205 Duarte CA 91010-1713 | |
(626) 358-1897 | |
(626) 301-0937 |
Full Name | Foothill Primary Care, Inc. |
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Speciality | General Practice |
Location | 931 Buena Vista St Ste 205, Duarte, California |
Authorized Official Name and Position | Roy L. Saenz (PRESIDENT) |
Authorized Official Contact | 6263581897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Foothill Primary Care, Inc. 931 Buena Vista St Ste 205 Duarte CA 91010-1713 Ph: (626) 358-1897 | Foothill Primary Care, Inc. 931 Buena Vista St Ste 205 Duarte CA 91010-1713 Ph: (626) 358-1897 |
NPI Number | 1720350259 |
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Provider Enumeration Date | 01/30/2012 |
Last Update Date | 02/21/2012 |
Medicare PECOS PAC ID | 7113184607 |
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Medicare Enrollment ID | O20120213000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720350259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G53517 (California) | Primary |
Provider Name | Roy Saenz |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1831195221 PECOS PAC ID: 5092772079 Enrollment ID: I20041211000210 |
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