| Ricardo E Chambi Md | |
|
8225 Long Beach Blvd Suite C South Gate CA 90280-2010 | |
| (323) 585-1056 | |
| Not Available |
| Full Name | Ricardo E Chambi Md |
|---|---|
| Speciality | General Practice |
| Location | 8225 Long Beach Blvd, South Gate, California |
| Authorized Official Name and Position | Ricardo E Chambi (PRESIDENT) |
| Authorized Official Contact | 3235851056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo E Chambi Md Po Box 3429 Huntington Park CA 90255-2329 Ph: (323) 585-1056 | Ricardo E Chambi Md 8225 Long Beach Blvd Suite C South Gate CA 90280-2010 Ph: (323) 585-1056 |
| NPI Number | 1295887024 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/24/2016 |
| Medicare PECOS PAC ID | 1254368699 |
|---|---|
| Medicare Enrollment ID | O20050718000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295887024 | NPI | - | NPPES |
| GR0101040 | Medicaid | CA | |
| 00A453841 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A45384 (California) | Primary |
| Provider Name | Ricardo E Chambi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518905181 PECOS PAC ID: 1951338300 Enrollment ID: I20050718000908 |
| Provider Name | Elvira P Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326325069 PECOS PAC ID: 1850477977 Enrollment ID: I20161019001442 |
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