| Moreno Valley Clinica Medica Familiar | |
|
23080 Alessandro Blvd Ste 202 Moreno Valley CA 92553-9674 | |
| (951) 697-7866 | |
| (951) 697-7869 |
| Full Name | Moreno Valley Clinica Medica Familiar |
|---|---|
| Speciality | Family Medicine |
| Location | 23080 Alessandro Blvd Ste 202, Moreno Valley, California |
| Authorized Official Name and Position | Clara Elizabeth Olachea-rodriguez (ASSISTANT MANAGER) |
| Authorized Official Contact | 9516161961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moreno Valley Clinica Medica Familiar 23080 Alessandro Blvd Ste 202 Moreno Valley CA 92553-9674 Ph: (951) 697-7866 | Moreno Valley Clinica Medica Familiar 23080 Alessandro Blvd Ste 202 Moreno Valley CA 92553-9674 Ph: (951) 697-7866 |
| NPI Number | 1659483352 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/17/2019 |
| Medicare PECOS PAC ID | 4880632520 |
|---|---|
| Medicare Enrollment ID | O20050421001514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659483352 | NPI | - | NPPES |
| 1659483352 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Octavio Ruiz Villalpando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194832816 PECOS PAC ID: 3870691926 Enrollment ID: I20070613000358 |
| Provider Name | Ela Grigorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598937468 PECOS PAC ID: 9537222179 Enrollment ID: I20090108000484 |
| Provider Name | Carina M Prieto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578228219 PECOS PAC ID: 3476948670 Enrollment ID: I20220325001624 |
Riverside University Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |