Libra Pain Care | |
1433 W Merced Ave Ste 311 West Covina CA 91790 | |
(626) 506-2648 | |
(626) 898-9250 |
Full Name | Libra Pain Care |
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Speciality | Pain Medicine |
Location | 1433 W Merced Ave Ste 311, West Covina, California |
Authorized Official Name and Position | Sam Ahdab (PRESIDENT) |
Authorized Official Contact | 3232172856 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Libra Pain Care 1433 W Merced Ave Ste 311 West Covina CA 91790-3402 Ph: (626) 506-2648 | Libra Pain Care 1433 W Merced Ave Ste 311 West Covina CA 91790 Ph: (626) 506-2648 |
NPI Number | 1477952117 |
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Provider Enumeration Date | 08/19/2014 |
Last Update Date | 07/26/2018 |
Medicare PECOS PAC ID | 9931417805 |
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Medicare Enrollment ID | O20150928000799 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477952117 | NPI | - | NPPES |
Provider Name | Sam Ahdab |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1992941397 PECOS PAC ID: 2365606753 Enrollment ID: I20140313002132 |
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