Imperial Primary Care Medical Group | |
15625 Imperial Hwy La Mirada CA 90638 | |
(562) 902-3000 | |
(562) 902-9563 |
Full Name | Imperial Primary Care Medical Group |
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Speciality | Family Medicine |
Location | 15625 Imperial Hwy, La Mirada, California |
Authorized Official Name and Position | Jamshid Maleki (PRESIDENT) |
Authorized Official Contact | 5629023000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Imperial Primary Care Medical Group 15034 Imperial Hwy La Mirada CA 90638-1301 Ph: (562) 902-3000 | Imperial Primary Care Medical Group 15625 Imperial Hwy La Mirada CA 90638 Ph: (562) 902-3000 |
NPI Number | 1598893455 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 08/14/2018 |
Medicare PECOS PAC ID | 3476528316 |
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Medicare Enrollment ID | O20040901001416 |
Identifier | Type | State | Issuer |
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1598893455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A61645 (California) | Primary |
207R00000X | Internal Medicine | G32190 (California) | Secondary |
Provider Name | Rafael Rubalcava |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417978644 PECOS PAC ID: 7719952654 Enrollment ID: I20101108001118 |
Provider Name | Michael Roach |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417970583 PECOS PAC ID: 3173598018 Enrollment ID: I20101108001194 |
Provider Name | Jamshid Maleki |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407879646 PECOS PAC ID: 1355316290 Enrollment ID: I20101108001288 |
Provider Name | Marcus W Lum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003839242 PECOS PAC ID: 3072588912 Enrollment ID: I20101108001331 |
Provider Name | Amine R Chahbouni |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326319021 PECOS PAC ID: 1658529029 Enrollment ID: I20120911000219 |
Provider Name | Jose R Dalprat |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1013299627 PECOS PAC ID: 6002041522 Enrollment ID: I20131108000277 |
Austin & Vatave Md's Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12675 La Mirada Blvd, Suite #300, La Mirada, CA 90638 Phone: 562-944-8054 Fax: 562-946-5324 | |
Wound Away Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15024 Imperial Hwy, La Mirada, CA 90638 Phone: 714-457-9905 | |
Southern California Specialty Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Imperial Hwy, La Mirada, CA 90638 Phone: 562-944-1900 Fax: 562-906-3455 | |
Peter H. Sim, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Imperial Hwy, La Mirada, CA 90638 Phone: 213-388-2232 | |
Chunilal Shah Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15651 Imperial Hwy Ste 104, La Mirada, CA 90638 Phone: 562-947-1619 Fax: 562-947-5969 | |
Pih Health Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12675 La Mirada Blvd Ste 201&220, La Mirada, CA 90638 Phone: 562-903-7339 Fax: 562-967-2931 |