| Myrtle Medical Center Inc | |
|
416 S Myrtle Ave Monrovia CA 91016-2812 | |
| (626) 357-3296 | |
| (626) 359-5608 |
| Full Name | Myrtle Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 416 S Myrtle Ave, Monrovia, California |
| Authorized Official Name and Position | Peter C. Balacuit (PRESIDENT) |
| Authorized Official Contact | 6263573296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle Medical Center Inc 416 S Myrtle Ave Monrovia CA 91016-2812 Ph: (626) 357-3296 | Myrtle Medical Center Inc 416 S Myrtle Ave Monrovia CA 91016-2812 Ph: (626) 357-3296 |
| NPI Number | 1013210756 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 6103091988 |
|---|---|
| Medicare Enrollment ID | O20111206000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013210756 | NPI | - | NPPES |
| 00A336540 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A33654 (California) | Primary |
| Provider Name | Donald B Balacuit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598737116 PECOS PAC ID: 5193712172 Enrollment ID: I20040429001617 |
| Provider Name | Peter C Balacuit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972613198 PECOS PAC ID: 2860467297 Enrollment ID: I20040830000728 |
Taylor Care, Inc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Myrtle Ave, Monrovia, CA 91016 Phone: 626-471-9710 Fax: 626-471-9800 | |
Mission City Community Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 513 E Lime Ave, Suite 103, Monrovia, CA 91016 Phone: 818-895-3100 Fax: 818-893-9464 | |
Chapcare-lime Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 513 E Lime Ave, Suite 101, Monrovia, CA 91016 Phone: 626-788-0290 Fax: 626-788-0291 | |
Tanner Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Myrtle Ave, Monrovia, CA 91016 Phone: 626-471-9710 Fax: 626-471-9800 | |
Sunjen Medical Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 513 E Lime Ave, #201, Monrovia, CA 91016 Phone: 626-445-1000 Fax: 626-513-8750 | |
Monrovia Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Maple Ave, Monrovia, CA 91016 Phone: 626-256-1600 |