| Pico Urgent Care | |
|
6632 Rosemead Blvd Pico Rivera CA 90660-3533 | |
| (562) 654-2828 | |
| (562) 654-2830 |
| Full Name | Pico Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 6632 Rosemead Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Edwin Tan Yu (PARTNER) |
| Authorized Official Contact | 5626542828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pico Urgent Care 6632 Rosemead Blvd Pico Rivera CA 90660-3533 Ph: (562) 654-2828 | Pico Urgent Care 6632 Rosemead Blvd Pico Rivera CA 90660-3533 Ph: (562) 654-2828 |
| NPI Number | 1598794331 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 01/11/2011 |
| Medicare PECOS PAC ID | 6901844885 |
|---|---|
| Medicare Enrollment ID | O20110319000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598794331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Jose Regullano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639270051 PECOS PAC ID: 2163682386 Enrollment ID: I20120327000159 |
| Provider Name | Edwin Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134220544 PECOS PAC ID: 9436234762 Enrollment ID: I20120612000115 |
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