| La Cliniquita, Inc. | |
|
6505 Rosemead Blvd Ste 106 Pico Rivera CA 90660-3542 | |
| (562) 373-2007 | |
| Not Available |
| Full Name | La Cliniquita, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6505 Rosemead Blvd Ste 106, Pico Rivera, California |
| Authorized Official Name and Position | Cristina Idalie Garcia (OWNER) |
| Authorized Official Contact | 5623732007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Cliniquita, Inc. 6505 Rosemead Blvd Ste 106 Pico Rivera CA 90660-3542 Ph: () - | La Cliniquita, Inc. 6505 Rosemead Blvd Ste 106 Pico Rivera CA 90660-3542 Ph: (562) 373-2007 |
| NPI Number | 1679024467 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Medicare PECOS PAC ID | 4486930229 |
|---|---|
| Medicare Enrollment ID | O20170411000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679024467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A123276 (California) | Primary |
| Provider Name | Cristina Idalie Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326391004 PECOS PAC ID: 0941525919 Enrollment ID: I20150730013220 |
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