| John Paul Ii Medical Clinic Inc A Professional Corporation | |
|
6529 Seville Ave Huntington Park CA 90255-4208 | |
| (323) 582-5770 | |
| Not Available |
| Full Name | John Paul Ii Medical Clinic Inc A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 6529 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Daniel Waldo Velasquez (PRESIDENT) |
| Authorized Official Contact | 3235825770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Paul Ii Medical Clinic Inc A Professional Corporation 6529 Seville Ave Huntington Park CA 90255-4208 Ph: (323) 582-5770 | John Paul Ii Medical Clinic Inc A Professional Corporation 6529 Seville Ave Huntington Park CA 90255-4208 Ph: (323) 582-5770 |
| NPI Number | 1306498373 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 4688000268 |
|---|---|
| Medicare Enrollment ID | O20200129002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306498373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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