| Mercy Medical Center | |
|
16444 Paramount Blvd Ste 103 Paramount CA 90723-5453 | |
| (562) 531-7790 | |
| Not Available |
| Full Name | Mercy Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 16444 Paramount Blvd Ste 103, Paramount, California |
| Authorized Official Name and Position | Mohammad Riaz (OWNER) |
| Authorized Official Contact | 5625317790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center 16444 Paramount Blvd Ste 103 Paramount CA 90723-5453 Ph: (562) 531-7790 | Mercy Medical Center 16444 Paramount Blvd Ste 103 Paramount CA 90723-5453 Ph: (562) 531-7790 |
| NPI Number | 1104014414 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 08/08/2012 |
| Medicare PECOS PAC ID | 8426064783 |
|---|---|
| Medicare Enrollment ID | O20060224000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014414 | NPI | - | NPPES |
| GR0056880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A32746 (California) | Primary |
| 208D00000X | General Practice | A91582 (California) | Secondary |
| Provider Name | Hassan A Riaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336170075 PECOS PAC ID: 0446298848 Enrollment ID: I20060223000825 |
| Provider Name | Mohammad Riaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396770103 PECOS PAC ID: 7719925114 Enrollment ID: I20120809000127 |
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