| Mother Theresa Medical Center Of Huntington Park | |
|
3203 E. Florence Ave. Huntington Park CA 90255-3008 | |
| (323) 835-6310 | |
| (323) 835-6382 |
| Full Name | Mother Theresa Medical Center Of Huntington Park |
|---|---|
| Speciality | General Practice |
| Location | 3203 E. Florence Ave., Huntington Park, California |
| Authorized Official Name and Position | Richard C. Keech (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5626992248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mother Theresa Medical Center Of Huntington Park 3203 E. Florence Avenue Huntington Park CA 90255-3908 Ph: (323) 835-6310 | Mother Theresa Medical Center Of Huntington Park 3203 E. Florence Ave. Huntington Park CA 90255-3008 Ph: (323) 835-6310 |
| NPI Number | 1477069375 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 01/25/2018 |
| Medicare PECOS PAC ID | 0446632988 |
|---|---|
| Medicare Enrollment ID | O20220801001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477069375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G29047 (California) | Primary |
| Provider Name | Richard C Keech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487748364 PECOS PAC ID: 8123013745 Enrollment ID: I20040414001824 |
| Provider Name | Jawahar Sundaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720082100 PECOS PAC ID: 3274593843 Enrollment ID: I20041018000840 |
Optimal Care Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 E Slauson Ave, Huntington Park, CA 90255 Phone: 323-749-6777 Fax: 323-835-6035 | |
Los Angeles Clinica Medica General Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Pacific Blvd Ste Ab, Huntington Park, CA 90255 Phone: 323-583-8383 Fax: 323-583-8399 | |
The Oasis Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Huntington Park, CA 90255 Phone: 323-200-4525 | |
Clinica Medica Virgen De Guadalupe #2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6831 Seville Ave, Huntington Park, CA 90255 Phone: 323-581-8234 Fax: 323-581-0393 | |
Union Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5421 Pacific Blvd, Huntington Park, CA 90255 Phone: 323-587-9141 Fax: 323-587-6074 | |
John Paul Ii Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6529 Seville Ave, Huntington Park, CA 90255 Phone: 323-582-5770 Fax: 323-582-1103 | |
Paul M Baylon Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 E Florence Ave, Huntington Park, CA 90255 Phone: 323-587-1616 Fax: 323-587-1767 |