| Hp Community Care Medical Associates Inc | |
|
5600 Pacific Blvd Huntington Park CA 90255-2537 | |
| (323) 585-8777 | |
| (323) 585-8889 |
| Full Name | Hp Community Care Medical Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5600 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Augustine Iluore (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3235858777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hp Community Care Medical Associates Inc Po Box 2910 Palos Verdes Peninsula CA 90274-8910 Ph: (323) 585-8777 | Hp Community Care Medical Associates Inc 5600 Pacific Blvd Huntington Park CA 90255-2537 Ph: (323) 585-8777 |
| NPI Number | 1588868640 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588868640 | NPI | - | NPPES |
| GR0095490 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A053317 (California) | Primary |
| 207R00000X | Internal Medicine | A053317 (California) | Primary |
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