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2196 West 3500 South, Suite C1 West Valley City UT 84119-3463 | |
(562) 499-6191 | |
(562) 499-6171 |
Full Name | |
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Speciality | Family Medicine |
Location | 2196 West 3500 South, Suite C1, West Valley City, Utah |
Authorized Official Name and Position | Gloria Calderon (VP, CLINIC OPERATIONS) |
Authorized Official Contact | 5624996191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Oceangate Ste 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | 2196 West 3500 South, Suite C1 West Valley City UT 84119-3463 Ph: (562) 499-6191 |
NPI Number | 1063842334 |
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Provider Enumeration Date | 11/22/2013 |
Last Update Date | 05/27/2014 |
Identifier | Type | State | Issuer |
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1063842334 | NPI | - | NPPES |
EFF. 1/6/14 | Medicaid | UT |
Vamos Health Ut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S Ste 107, West Valley City, UT 84120 Phone: 502-333-2281 | |
Healing Center Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W 3500 S Ste B, West Valley City, UT 84119 Phone: 801-955-8888 Fax: 801-955-8889 |