| Genesis Medical Clinic | |
|
6189 La Palma Ave Buena Park CA 90620-2858 | |
| (714) 522-2891 | |
| (714) 522-8176 |
| Full Name | Genesis Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6189 La Palma Ave, Buena Park, California |
| Authorized Official Name and Position | Terry Kb Fowler (PRESIDENT) |
| Authorized Official Contact | 7145222891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Clinic 6189 La Palma Ave Buena Park CA 90620-2858 Ph: (714) 522-2891 | Genesis Medical Clinic 6189 La Palma Ave Buena Park CA 90620-2858 Ph: (714) 522-2891 |
| NPI Number | 1215079892 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215079892 | NPI | - | NPPES |
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