| Patient Care Medical Center Inc | |
|
320 S Garfield Ave Ste 206 Alhambra CA 91801-6815 | |
| (626) 607-9406 | |
| (626) 458-2489 |
| Full Name | Patient Care Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 S Garfield Ave Ste 206, Alhambra, California |
| Authorized Official Name and Position | Bosheng Qiu (DIRECTOR) |
| Authorized Official Contact | 6264582489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Care Medical Center Inc Po Box 7230 Alhambra CA 91802-7230 Ph: (626) 607-9406 | Patient Care Medical Center Inc 320 S Garfield Ave Ste 206 Alhambra CA 91801-6815 Ph: (626) 607-9406 |
| NPI Number | 1093956849 |
|---|---|
| Provider Enumeration Date | 03/07/2009 |
| Last Update Date | 03/07/2009 |
| Medicare PECOS PAC ID | 3678624061 |
|---|---|
| Medicare Enrollment ID | O20090624000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093956849 | NPI | - | NPPES |
| A83150 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A83150 (California) | Primary |
| Provider Name | Bosheng Qiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417096363 PECOS PAC ID: 4082683214 Enrollment ID: I20040924000996 |
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