| La Paz Family Medical Clinic | |
|
146 E 4th St Perris CA 92570-2125 | |
| (951) 956-2152 | |
| (951) 956-2154 |
| Full Name | La Paz Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 146 E 4th St, Perris, California |
| Authorized Official Name and Position | Roswitha Elisabeth Breuer (OWNER) |
| Authorized Official Contact | 9519562152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz Family Medical Clinic 146 E 4th St Perris CA 92570-2125 Ph: (951) 956-2152 | La Paz Family Medical Clinic 146 E 4th St Perris CA 92570-2125 Ph: (951) 956-2152 |
| NPI Number | 1801934591 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801934591 | NPI | - | NPPES |
| 00A362360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A36236 (California) | Primary |
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