Medicina Familiar | |
13500 Van Nuys Blvd Pacoima CA 91331 | |
(818) 896-2999 | |
(818) 896-8449 |
Full Name | Medicina Familiar |
---|---|
Speciality | General Practice |
Location | 13500 Van Nuys Blvd, Pacoima, California |
Authorized Official Name and Position | Jose Manuel Gonzalez-diaz (OWNER) |
Authorized Official Contact | 8188962999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medicina Familiar 13500 Van Nuys Blvd Pacoima CA 91331-3028 Ph: (818) 896-2999 | Medicina Familiar 13500 Van Nuys Blvd Pacoima CA 91331 Ph: (818) 896-2999 |
NPI Number | 1609961648 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609961648 | NPI | - | NPPES |
GR0086101 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A41311 (California) | Primary |
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