| Luis Tincopa M D Inc | |
|
7507 Seville Ave Huntington Park CA 90255-6027 | |
| (323) 587-0088 | |
| (323) 587-6234 |
| Full Name | Luis Tincopa M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7507 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Luis Felix Tincopa (PRESIDENT) |
| Authorized Official Contact | 3235870088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Tincopa M D Inc 7507 Seville Ave Huntington Park CA 90255-6027 Ph: (323) 587-0088 | Luis Tincopa M D Inc 7507 Seville Ave Huntington Park CA 90255-6027 Ph: (323) 587-0088 |
| NPI Number | 1447552831 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447552831 | NPI | - | NPPES |
| 00A312641 | Medicaid | CA | |
| 00A312640 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A31264 (California) | Primary |
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