| Huntington Park Clinica Medica General, Medical Center, Inc | |
|
7400 Pacific Blvd Huntington Park CA 90255-5954 | |
| (323) 583-8383 | |
| (323) 583-8399 |
| Full Name | Huntington Park Clinica Medica General, Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7400 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Jose Luis Carrillo (BUSINESS ACCOUNTS MANAGER) |
| Authorized Official Contact | 2137393282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Park Clinica Medica General, Medical Center, Inc Po Box 1682 Beverly Hills CA 90213-1682 Ph: (213) 637-2530 | Huntington Park Clinica Medica General, Medical Center, Inc 7400 Pacific Blvd Huntington Park CA 90255-5954 Ph: (323) 583-8383 |
| NPI Number | 1942256094 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 05/26/2023 |
| Medicare PECOS PAC ID | 0345236774 |
|---|---|
| Medicare Enrollment ID | O20040421001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942256094 | NPI | - | NPPES |
| GR0076010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ethel S Dijamco |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780750752 PECOS PAC ID: 8729075080 Enrollment ID: I20040428000871 |
| Provider Name | Jorge A Monastersky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851542781 PECOS PAC ID: 2668460205 Enrollment ID: I20040503001718 |
| Provider Name | John Kowalczyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548254089 PECOS PAC ID: 0042273989 Enrollment ID: I20041110001255 |
| Provider Name | Harvey S Richmond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154440329 PECOS PAC ID: 5991753113 Enrollment ID: I20050104001126 |
| Provider Name | Tu A Tran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467466243 PECOS PAC ID: 9830149301 Enrollment ID: I20050124000529 |
| Provider Name | John S Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467441527 PECOS PAC ID: 3678523289 Enrollment ID: I20050131000752 |
| Provider Name | Parvin D Syal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831274497 PECOS PAC ID: 7012953771 Enrollment ID: I20050701001005 |
| Provider Name | Samar Hazzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952458929 PECOS PAC ID: 4981632304 Enrollment ID: I20050727001029 |
| Provider Name | Daniel M Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285668962 PECOS PAC ID: 7012934151 Enrollment ID: I20051028000262 |
| Provider Name | Aram Bonni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104859164 PECOS PAC ID: 5294754768 Enrollment ID: I20060621000370 |
| Provider Name | Peter Agapay Lucero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457414856 PECOS PAC ID: 2567463102 Enrollment ID: I20070219000421 |
| Provider Name | Carmencita J Llado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205903317 PECOS PAC ID: 3678642519 Enrollment ID: I20080519000732 |
| Provider Name | Moustafa Alamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184659161 PECOS PAC ID: 4587602982 Enrollment ID: I20091124000003 |
| Provider Name | Mara Antonia Coloma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023184132 PECOS PAC ID: 0143359984 Enrollment ID: I20100603000628 |
| Provider Name | James G Gitlin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437265089 PECOS PAC ID: 4284829060 Enrollment ID: I20101108000463 |
| Provider Name | Lucien O Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780690032 PECOS PAC ID: 0345404885 Enrollment ID: I20120612000571 |
| Provider Name | Elika Derek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427280510 PECOS PAC ID: 3577792365 Enrollment ID: I20141215001501 |
| Provider Name | David J Kyle |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1952531758 PECOS PAC ID: 9638472194 Enrollment ID: I20160118000764 |
| Provider Name | Percy Naranjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255474375 PECOS PAC ID: 7315241726 Enrollment ID: I20160426001918 |
| Provider Name | Ernesto Ramos Cruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134190135 PECOS PAC ID: 5092754275 Enrollment ID: I20160517001786 |
| Provider Name | Mark Steven Ravis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023252186 PECOS PAC ID: 2062783426 Enrollment ID: I20170802002958 |
| Provider Name | Carolina Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902216161 PECOS PAC ID: 1052646833 Enrollment ID: I20190716003280 |
| Provider Name | Arash Calafi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164866935 PECOS PAC ID: 0749531556 Enrollment ID: I20191021002601 |
| Provider Name | Marlyn Murillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568018273 PECOS PAC ID: 0840627774 Enrollment ID: I20200305000860 |
| Provider Name | Carl Eric Hayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942287180 PECOS PAC ID: 4183843246 Enrollment ID: I20200421001604 |
| Provider Name | Estela Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629631197 PECOS PAC ID: 0840620563 Enrollment ID: I20200421001899 |
| Provider Name | Sofi Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972123180 PECOS PAC ID: 8325459431 Enrollment ID: I20201120002480 |
| Provider Name | George Madera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811904873 PECOS PAC ID: 3779574439 Enrollment ID: I20201125000513 |
| Provider Name | Fabiana Elizabeth Lopapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497386544 PECOS PAC ID: 5496160699 Enrollment ID: I20210222001428 |
| Provider Name | Paul W. Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801973078 PECOS PAC ID: 6103999537 Enrollment ID: I20220317002458 |
| Provider Name | Cindy Haslam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401229 PECOS PAC ID: 8022496199 Enrollment ID: I20220601001644 |
| Provider Name | Christine Tam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407398852 PECOS PAC ID: 6305217274 Enrollment ID: I20230201001149 |
| Provider Name | Raminder Dhillon-acosta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790749984 PECOS PAC ID: 9133019409 Enrollment ID: I20230206002032 |
| Provider Name | Marcus Cox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922298868 PECOS PAC ID: 4486626249 Enrollment ID: I20230227002877 |
| Provider Name | Samantha Avery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215178090 PECOS PAC ID: 0143443697 Enrollment ID: I20230531001671 |
| Provider Name | Sonia Jasmine Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467150524 PECOS PAC ID: 7810354842 Enrollment ID: I20230607001872 |
| Provider Name | William Strimel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366425134 PECOS PAC ID: 0345243028 Enrollment ID: I20230711000807 |
Optimal Care Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 E Slauson Ave, Huntington Park, CA 90255 Phone: 323-749-6777 Fax: 323-835-6035 | |
Los Angeles Clinica Medica General Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Pacific Blvd Ste Ab, Huntington Park, CA 90255 Phone: 323-583-8383 Fax: 323-583-8399 | |
The Oasis Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Huntington Park, CA 90255 Phone: 323-200-4525 | |
Clinica Medica Virgen De Guadalupe #2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6831 Seville Ave, Huntington Park, CA 90255 Phone: 323-581-8234 Fax: 323-581-0393 | |
Union Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5421 Pacific Blvd, Huntington Park, CA 90255 Phone: 323-587-9141 Fax: 323-587-6074 | |
John Paul Ii Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6529 Seville Ave, Huntington Park, CA 90255 Phone: 323-582-5770 Fax: 323-582-1103 | |
Paul M Baylon Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 E Florence Ave, Huntington Park, CA 90255 Phone: 323-587-1616 Fax: 323-587-1767 |