| Rio Hondo Medical Group Inc | |
|
12444 Washington Blvd Whittier CA 90602-1005 | |
| (562) 698-0161 | |
| (562) 698-8740 |
| Full Name | Rio Hondo Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12444 Washington Blvd, Whittier, California |
| Authorized Official Name and Position | Nena Zosa (MANAGER) |
| Authorized Official Contact | 5626980161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Hondo Medical Group Inc 12444 E Washington Blvd Whittier CA 90602-1005 Ph: (562) 698-0161 | Rio Hondo Medical Group Inc 12444 Washington Blvd Whittier CA 90602-1005 Ph: (562) 698-0161 |
| NPI Number | 1609972777 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 12/09/2008 |
| Medicare PECOS PAC ID | 6709940935 |
|---|---|
| Medicare Enrollment ID | O20090202000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609972777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A38728 (California) | Primary |
| 208000000X | Pediatrics | A23965 (California) | Secondary |
| Provider Name | Fernando Gonzales |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346343225 PECOS PAC ID: 5092830596 Enrollment ID: I20100921000018 |
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