Mdnp Providers Inc | |
120 W Beverly Blvd Montebello CA 90640-4305 | |
(909) 576-8889 | |
Not Available |
Full Name | Mdnp Providers Inc |
---|---|
Speciality | Nurse Practitioner |
Location | 120 W Beverly Blvd, Montebello, California |
Authorized Official Name and Position | Gina Castromayor (PRESIDENT) |
Authorized Official Contact | 7144086522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mdnp Providers Inc 596 N Lake Ave Ste 203 203 Pasadena CA 91101-1222 Ph: (714) 408-6522 | Mdnp Providers Inc 120 W Beverly Blvd Montebello CA 90640-4305 Ph: (909) 576-8889 |
NPI Number | 1144659228 |
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Provider Enumeration Date | 11/08/2013 |
Last Update Date | 12/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144659228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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