| Pleitez Medical Clinic | |
|
430 W Badillo St Covina CA 91723-1829 | |
| (626) 859-2851 | |
| (626) 859-0341 |
| Full Name | Pleitez Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 430 W Badillo St, Covina, California |
| Authorized Official Name and Position | Nuria F Pleitez (MEDICAL DOCTOR) |
| Authorized Official Contact | 6268592851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleitez Medical Clinic 430 W Badillo St Covina CA 91723-1829 Ph: (626) 859-2851 | Pleitez Medical Clinic 430 W Badillo St Covina CA 91723-1829 Ph: (626) 859-2851 |
| NPI Number | 1700181799 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 9335329226 |
|---|---|
| Medicare Enrollment ID | O20110209001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700181799 | NPI | - | NPPES |
| 00A402481 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40248 (California) | Primary |
| Provider Name | Nuria Francisca Pleitez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942361332 PECOS PAC ID: 0244410132 Enrollment ID: I20110209001096 |
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