Jose Torreblanca Md Inc. | |
7128 Seville Ave Huntington Park CA 90255-4906 | |
(323) 588-2186 | |
(323) 588-0422 |
Full Name | Jose Torreblanca Md Inc. |
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Speciality | General Practice |
Location | 7128 Seville Ave, Huntington Park, California |
Authorized Official Name and Position | Jose Manuel Torreblanca (OWNER) |
Authorized Official Contact | 3235882186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jose Torreblanca Md Inc. 7128 Seville Ave Huntington Park CA 90255-4906 Ph: (323) 588-2186 | Jose Torreblanca Md Inc. 7128 Seville Ave Huntington Park CA 90255-4906 Ph: (323) 588-2186 |
NPI Number | 1104247329 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 12/21/2015 |
Medicare PECOS PAC ID | 2062638323 |
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Medicare Enrollment ID | O20140722000977 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104247329 | NPI | - | NPPES |
A64451 | Other | CA | MEDICAL LICENSE |
A41327 | Other | CA | MEDICAL LICENSE |
C41500 | Other | CA | MEDICAL LICENSE |
20A10109 | Other | CA | MEDICAL LICENSE |
Provider Name | Daniel Enayati |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1861525016 PECOS PAC ID: 4880614973 Enrollment ID: I20051205000434 |
Provider Name | Jose M Torreblanca |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407922107 PECOS PAC ID: 1850462797 Enrollment ID: I20080619000522 |
Provider Name | Jose F Torreblanca |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1871619346 PECOS PAC ID: 5193801769 Enrollment ID: I20100113000019 |
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