Medicos Unidos De Avenal | |
148 E Kings St Avenal CA 93204-1529 | |
(559) 386-9000 | |
Not Available |
Full Name | Medicos Unidos De Avenal |
---|---|
Speciality | Family Medicine |
Location | 148 E Kings St, Avenal, California |
Authorized Official Name and Position | Tomas Ballesteros Rios (OWNER) |
Authorized Official Contact | 5593869000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medicos Unidos De Avenal Po Box 530 Lemoore CA 93245-0530 Ph: (559) 386-9000 | Medicos Unidos De Avenal 148 E Kings St Avenal CA 93204-1529 Ph: (559) 386-9000 |
NPI Number | 1013108752 |
---|---|
Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013108752 | NPI | - | NPPES |
RHM058905F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wonderful Center For Health Innovation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 S 7th Ave, Avenal, CA 93204 Phone: 661-797-6607 Fax: 661-797-6708 |