George J. Maloof, Jr., M.d., Inc. | |
1420 Ocotillo Dr Ste A El Centro CA 92243-4213 | |
(760) 352-3555 | |
(760) 352-7094 |
Full Name | George J. Maloof, Jr., M.d., Inc. |
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Speciality | Internal Medicine |
Location | 1420 Ocotillo Dr Ste A, El Centro, California |
Authorized Official Name and Position | George J Maloof (PRESIDENT) |
Authorized Official Contact | 7603523555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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George J. Maloof, Jr., M.d., Inc. 1420 Ocotillo Dr Ste A El Centro CA 92243-4213 Ph: (760) 352-3555 | George J. Maloof, Jr., M.d., Inc. 1420 Ocotillo Dr Ste A El Centro CA 92243-4213 Ph: (760) 352-3555 |
NPI Number | 1962536581 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 11/23/2010 |
Medicare PECOS PAC ID | 6204925688 |
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Medicare Enrollment ID | O20071207000810 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962536581 | NPI | - | NPPES |
00A430520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A43052 (California) | Primary |
Provider Name | George J Maloof |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881687499 PECOS PAC ID: 6305935784 Enrollment ID: I20071207000802 |
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