| |
18331 Gridley Rd Suite A Cerritos CA 90703-5438 | |
(562) 865-3738 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 18331 Gridley Rd, Cerritos, California |
Authorized Official Name and Position | John Ehum (PRESIDENT) |
Authorized Official Contact | 5628653738 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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18331 Gridley Rd Suite A Cerritos CA 90703-5438 Ph: (562) 865-3738 | 18331 Gridley Rd Suite A Cerritos CA 90703-5438 Ph: (562) 865-3738 |
NPI Number | 1215472048 |
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Provider Enumeration Date | 01/03/2017 |
Last Update Date | 01/03/2017 |
Medicare PECOS PAC ID | 3173805827 |
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Medicare Enrollment ID | O20170113000207 |
Identifier | Type | State | Issuer |
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1215472048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A97838 (California) | Primary |
Provider Name | John J Ehum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942483409 PECOS PAC ID: 5597047506 Enrollment ID: I20170228001952 |
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