| Good Shephard Medical Clinic | |
|
661 W 1rst Streeet # G Tustin CA 92780 | |
| (714) 665-9890 | |
| (714) 665-9891 |
| Full Name | Good Shephard Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 661 W 1rst Streeet # G, Tustin, California |
| Authorized Official Name and Position | Marie Nerlande Lamothe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3106357123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shephard Medical Clinic 201 N Central Ave Compton CA 90220-1425 Ph: (310) 635-7123 | Good Shephard Medical Clinic 661 W 1rst Streeet # G Tustin CA 92780 Ph: (714) 665-9890 |
| NPI Number | 1851735351 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851735351 | NPI | - | NPPES |
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