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1025 Willow Ave La Puente CA 91746-1617 | |
(818) 895-3100 | |
(818) 893-9464 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1025 Willow Ave, La Puente, California |
Authorized Official Name and Position | Gloria Lina (COO) |
Authorized Official Contact | 8188953100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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15206 Parthenia St North Hills CA 91343-5305 Ph: (818) 895-3100 | 1025 Willow Ave La Puente CA 91746-1617 Ph: (818) 895-3100 |
NPI Number | 1942694096 |
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Provider Enumeration Date | 03/26/2015 |
Last Update Date | 06/01/2015 |
Medicare PECOS PAC ID | 1658264684 |
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Medicare Enrollment ID | O20160428001030 |
Identifier | Type | State | Issuer |
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1942694096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (California) | Primary |
Clinica Medica Mi Salud, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 N Hacienda Blvd Ste 3, La Puente, CA 91744 Phone: 626-350-7087 | |
Southern California Infectious Disease Physicians Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18335 E Valley Blvd, La Puente, CA 91744 Phone: 626-810-3330 Fax: 626-964-0440 | |
Friends Of Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 565 S Azusa Way, La Puente, CA 91744 Phone: 626-913-4795 Fax: 562-690-3182 | |
East Valley Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17800 Renault St, La Puente, CA 91744 Phone: 626-919-4333 Fax: 626-919-2084 |