| La Clinica Vallejo | |
|
243 Georgia St Suite B Vallejo CA 94590-5905 | |
| (707) 556-8100 | |
| (707) 556-8107 |
| Full Name | La Clinica Vallejo |
|---|---|
| Speciality | Clinic/Center |
| Location | 243 Georgia St, Vallejo, California |
| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5103544000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Vallejo Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | La Clinica Vallejo 243 Georgia St Suite B Vallejo CA 94590-5905 Ph: (707) 556-8100 |
| NPI Number | 1992811392 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 1557258282 |
|---|---|
| Medicare Enrollment ID | O20070905000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992811392 | NPI | - | NPPES |
| FHC70543G | Medicaid | CA |
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