| Rhoda Estrella-itchon, M.d., Inc. | |
|
25495 Medical Center Dr Suite 301 Murrieta CA 92562-4902 | |
| (951) 461-1070 | |
| Not Available |
| Full Name | Rhoda Estrella-itchon, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 25495 Medical Center Dr, Murrieta, California |
| Authorized Official Name and Position | Rhoda Estrella-itchon (PRESIDENT) |
| Authorized Official Contact | 9514611070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhoda Estrella-itchon, M.d., Inc. 25495 Medical Center Dr Suite 301 Murrieta CA 92562-4902 Ph: () - | Rhoda Estrella-itchon, M.d., Inc. 25495 Medical Center Dr Suite 301 Murrieta CA 92562-4902 Ph: (951) 461-1070 |
| NPI Number | 1023202371 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 06/17/2010 |
| Medicare PECOS PAC ID | 4183883713 |
|---|---|
| Medicare Enrollment ID | O20120316000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023202371 | NPI | - | NPPES |
| 6723134 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A55570 (California) | Primary |
| Provider Name | Rhoda G Estrella-itchon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245233147 PECOS PAC ID: 4587555867 Enrollment ID: I20040324000865 |
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