Mitla Professional Nursing Care, Inc | |
4111 Maine Ave Baldwin Park CA 91706-3307 | |
(626) 939-0676 | |
(626) 517-5482 |
Full Name | Mitla Professional Nursing Care, Inc |
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Speciality | Clinic/Center |
Location | 4111 Maine Ave, Baldwin Park, California |
Authorized Official Name and Position | Antonio Martinez (CEO) |
Authorized Official Contact | 3233690955 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mitla Professional Nursing Care, Inc 4111 Maine Ave Baldwin Park CA 91706-3307 Ph: () - | Mitla Professional Nursing Care, Inc 4111 Maine Ave Baldwin Park CA 91706-3307 Ph: (626) 939-0676 |
NPI Number | 1811750425 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 05/22/2024 |
Medicare PECOS PAC ID | 2264978873 |
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Medicare Enrollment ID | O20240718004976 |
Identifier | Type | State | Issuer |
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1811750425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Earla E Quisido |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639218340 PECOS PAC ID: 0042258832 Enrollment ID: I20050421001021 |
Provider Name | Antonio Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528236981 PECOS PAC ID: 1557423431 Enrollment ID: I20081231000373 |
Amado D. Mandani M.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14338 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-962-7886 Fax: 626-962-4636 | |
Baldwin Park Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 | |
Carlos Beharie M.d. Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706 Phone: 626-653-0800 Fax: 626-244-0485 |