| Ivy Springs Medical Care Inc | |
|
41680 Ivy St Suite A Murrieta CA 92562-9434 | |
| (951) 677-2227 | |
| (951) 677-4462 |
| Full Name | Ivy Springs Medical Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 41680 Ivy St, Murrieta, California |
| Authorized Official Name and Position | Bach Kim Nguyen (PRESIDENT) |
| Authorized Official Contact | 9516772227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Springs Medical Care Inc 41680 Ivy St Suite A Murrieta CA 92562-9434 Ph: (951) 677-2227 | Ivy Springs Medical Care Inc 41680 Ivy St Suite A Murrieta CA 92562-9434 Ph: (951) 677-2227 |
| NPI Number | 1477706844 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 12/19/2008 |
| Medicare PECOS PAC ID | 5799847059 |
|---|---|
| Medicare Enrollment ID | O20081219000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477706844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3121213 (California) | Primary |
| Provider Name | Bach S Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427076546 PECOS PAC ID: 5193744506 Enrollment ID: I20051212000762 |
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