Saint Joseph Family Medical Clinic, Inc | |
2643 Santa Ana St South Gate CA 90280-2025 | |
(323) 277-9010 | |
(323) 277-9012 |
Full Name | Saint Joseph Family Medical Clinic, Inc |
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Speciality | Family Medicine |
Location | 2643 Santa Ana St, South Gate, California |
Authorized Official Name and Position | Peter E Wu (CEO) |
Authorized Official Contact | 3232779010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Saint Joseph Family Medical Clinic, Inc Po Box 93723 City Of Industry CA 91715-3723 Ph: (323) 277-9010 | Saint Joseph Family Medical Clinic, Inc 2643 Santa Ana St South Gate CA 90280-2025 Ph: (323) 277-9010 |
NPI Number | 1023243193 |
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Provider Enumeration Date | 05/19/2009 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
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1023243193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G72358 (California) | Primary |
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