La Puente Sub Center | |
15930 Central Ave La Puente CA 91744-5410 | |
(626) 579-8302 | |
Not Available |
Full Name | La Puente Sub Center |
---|---|
Speciality | Clinic/center |
Location | 15930 Central Ave, La Puente, California |
Authorized Official Name and Position | Mark Corbet (INTERIM CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3232262400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Puente Sub Center 15930 Central Ave La Puente CA 91744-5410 Ph: (626) 579-8302 | La Puente Sub Center 15930 Central Ave La Puente CA 91744-5410 Ph: (626) 579-8302 |
NPI Number | 1497768154 |
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Provider Enumeration Date | 08/14/2006 |
Last Update Date | 03/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497768154 | NPI | - | NPPES |
05D0936934 | Other | CA | LP HC CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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La Puente Sub Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15930 Central Ave, La Puente, CA 91744 Phone: 626-579-8302 | |
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