Intercare Medical Clinic | |
7895 Westminster Blvd Westminster CA 92683-4043 | |
(714) 785-2159 | |
Not Available |
Full Name | Intercare Medical Clinic |
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Speciality | Internal Medicine |
Location | 7895 Westminster Blvd, Westminster, California |
Authorized Official Name and Position | Anh Thu Thi Tran (PRESIDENT) |
Authorized Official Contact | 7147852159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intercare Medical Clinic 7895 Westminster Blvd Westminster CA 92683-4043 Ph: () - | Intercare Medical Clinic 7895 Westminster Blvd Westminster CA 92683-4043 Ph: (714) 785-2159 |
NPI Number | 1760950588 |
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Provider Enumeration Date | 11/09/2018 |
Last Update Date | 09/20/2019 |
Medicare PECOS PAC ID | 0042549800 |
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Medicare Enrollment ID | O20190904002764 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760950588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Anh Thu T Tran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548404304 PECOS PAC ID: 9436205101 Enrollment ID: I20090922000191 |
Provider Name | Trang Minh Vu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093340689 PECOS PAC ID: 2062821184 Enrollment ID: I20210430002353 |
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