Man Vuong-dac,md Inc. | |
3649 Florence Ave Bell CA 90201-3352 | |
(323) 583-6333 | |
(323) 588-6391 |
Full Name | Man Vuong-dac,md Inc. |
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Speciality | Family Medicine |
Location | 3649 Florence Ave, Bell, California |
Authorized Official Name and Position | Man Vuong-dac (PRESIDENT) |
Authorized Official Contact | 3235836333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Man Vuong-dac,md Inc. 3649 Florence Ave Bell CA 90201-3352 Ph: (323) 583-6333 | Man Vuong-dac,md Inc. 3649 Florence Ave Bell CA 90201-3352 Ph: (323) 583-6333 |
NPI Number | 1043246317 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 12/27/2007 |
Medicare PECOS PAC ID | 5092892711 |
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Medicare Enrollment ID | O20080404000707 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043246317 | NPI | - | NPPES |
00A502431 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A50243 (California) | Primary |
Provider Name | Man Vuong Dac |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396929147 PECOS PAC ID: 1557448271 Enrollment ID: I20080404000700 |
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