| Pionerr Medical Group Inc | |
|
16510 Bloomfield Ave Cerritos CA 90703-2115 | |
| (562) 229-0902 | |
| (562) 229-0952 |
| Full Name | Pionerr Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16510 Bloomfield Ave, Cerritos, California |
| Authorized Official Name and Position | William G Wong (PRESIDENT) |
| Authorized Official Contact | 5622299452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pionerr Medical Group Inc Po Box 1682 Bellflower CA 90707-1682 Ph: (562) 229-9452 | Pionerr Medical Group Inc 16510 Bloomfield Ave Cerritos CA 90703-2115 Ph: (562) 229-0902 |
| NPI Number | 1912929852 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912929852 | NPI | - | NPPES |
| ZZZ00376Z | Other | CA | BLUE SHIELD |
| GR0090424 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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