| Lake Elsinore Clinica Medica Familiar | |
|
31739 Riverside Dr Suite A-1 Lake Elsinore CA 92530-7818 | |
| (951) 245-0505 | |
| (951) 245-0999 |
| Full Name | Lake Elsinore Clinica Medica Familiar |
|---|---|
| Speciality | Family Medicine |
| Location | 31739 Riverside Dr, Lake Elsinore, California |
| Authorized Official Name and Position | Octavio Ruiz-villalpando (PRESIDENT) |
| Authorized Official Contact | 9512450505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Elsinore Clinica Medica Familiar 31739 Riverside Dr Suite A-1 Lake Elsinore CA 92530-7818 Ph: (951) 245-0505 | Lake Elsinore Clinica Medica Familiar 31739 Riverside Dr Suite A-1 Lake Elsinore CA 92530-7818 Ph: (951) 245-0505 |
| NPI Number | 1851625396 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Medicare PECOS PAC ID | 7012100910 |
|---|---|
| Medicare Enrollment ID | O20101025000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851625396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A92039 (California) | Primary |
| Provider Name | Philip Delgado |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235355942 PECOS PAC ID: 7911052170 Enrollment ID: I20090911000446 |
Family Health Care Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532 Phone: 951-674-7811 | |
Lake Elsinore Clinica Medica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Lake Elsinore, CA 92530 Phone: 855-505-7467 Fax: 888-975-8926 | |
J M Asprec Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31571 Canyon Estates Dr, Ste 132, Lake Elsinore, CA 92532 Phone: 951-674-7811 Fax: 951-674-7812 | |
County Of Riverside-community Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2499 E Lakeshore Dr, Lake Elsinore, CA 92530 Phone: 951-674-3250 Fax: 951-245-4502 | |
Lakeshore Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530 Phone: 951-674-6876 Fax: 951-674-6876 | |
Hofmeister Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530 Phone: 951-245-2333 | |
Lakeshore Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16770 Lakeshore Dr, Suite G, Lake Elsinore, CA 92530 Phone: 951-674-6876 Fax: 951-674-6876 |