| Pico Rivera Community Medical Clinic Inc | |
|
4705 Durfee Ave Pico Rivera CA 90660-2037 | |
| (562) 692-0621 | |
| (562) 695-0660 |
| Full Name | Pico Rivera Community Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4705 Durfee Ave, Pico Rivera, California |
| Authorized Official Name and Position | Claudia Hernandez (OWNER/PARTNER) |
| Authorized Official Contact | 5626920621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pico Rivera Community Medical Clinic Inc 4705 Durfee Ave Pico Rivera CA 90660-2037 Ph: (562) 692-0621 | Pico Rivera Community Medical Clinic Inc 4705 Durfee Ave Pico Rivera CA 90660-2037 Ph: (562) 692-0621 |
| NPI Number | 1841232394 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/31/2016 |
| Medicare PECOS PAC ID | 6800040825 |
|---|---|
| Medicare Enrollment ID | O20130129000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841232394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Claudia Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518006550 PECOS PAC ID: 1355487687 Enrollment ID: I20130131000062 |
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