| Pacifica Sur Medical Group | |
|
4318 Maine Ave Baldwin Park CA 91706-3306 | |
| (626) 962-5141 | |
| (626) 338-4191 |
| Full Name | Pacifica Sur Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4318 Maine Ave, Baldwin Park, California |
| Authorized Official Name and Position | Jyh Chang (PRESIDENT) |
| Authorized Official Contact | 6269625141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Sur Medical Group 4318 Maine Ave Baldwin Park CA 91706-3306 Ph: (626) 962-5141 | Pacifica Sur Medical Group 4318 Maine Ave Baldwin Park CA 91706-3306 Ph: (626) 962-5141 |
| NPI Number | 1316168636 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 12/06/2010 |
| Medicare PECOS PAC ID | 3173565025 |
|---|---|
| Medicare Enrollment ID | O20050601000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316168636 | NPI | - | NPPES |
| BLUE SHIELD | Other | CA | ZZZ52049Z |
| GR0071680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A46003 (California) | Primary |
| 207Q00000X | Family Medicine | G80349 (California) | Secondary |
| Provider Name | Victoria N Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760423016 PECOS PAC ID: 7719977990 Enrollment ID: I20040518000806 |
| Provider Name | Jyh C Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346259595 PECOS PAC ID: 1850333741 Enrollment ID: I20050602000231 |
Balwin Park Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14652 Pacific Ave, Baldwin Park, CA 91706 Phone: 626-337-1360 Fax: 323-962-1375 | |
Amado D. Mandani M.d.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14338 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-962-7886 Fax: 626-962-4636 | |
Rao L. Atluri,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14051 E. Ramona Parkway, Baldwin Park, CA 91706 Phone: 626-338-7338 Fax: 626-338-0201 | |
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 | |
Baldwin Park-el Monte Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14342 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-338-4088 Fax: 626-814-9068 | |
El Proyecto Del Barrio,inc/ Baldwin Park Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3942 Maine Ave, Baldwin Park, CA 91706 Phone: 626-969-7885 | |
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 |