Madrid Med, A Medical Corporation | |
2585 Pacific Coast Hwy Torrance CA 90505-7035 | |
(318) 218-9809 | |
(606) 309-2289 |
Full Name | Madrid Med, A Medical Corporation |
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Speciality | General Practice |
Location | 2585 Pacific Coast Hwy, Torrance, California |
Authorized Official Name and Position | Elinora S Madrid-carranza (CEO) |
Authorized Official Contact | 3182189809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Madrid Med, A Medical Corporation 2585 Pacific Coast Hwy Torrance CA 90505-7035 Ph: (318) 218-9809 | Madrid Med, A Medical Corporation 2585 Pacific Coast Hwy Torrance CA 90505-7035 Ph: (318) 218-9809 |
NPI Number | 1881283992 |
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Provider Enumeration Date | 01/13/2021 |
Last Update Date | 06/14/2024 |
Medicare PECOS PAC ID | 0446635791 |
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Medicare Enrollment ID | O20220922001395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881283992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Elinora S Madrid Carranza |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1578917720 PECOS PAC ID: 6507284551 Enrollment ID: I20200908003167 |
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