San Rafael Community Medical Clinic | |
647 E Arrow Hwy Azusa CA 91702-5802 | |
(626) 858-5199 | |
(626) 858-5299 |
Full Name | San Rafael Community Medical Clinic |
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Speciality | Family Medicine |
Location | 647 E Arrow Hwy, Azusa, California |
Authorized Official Name and Position | Rafael Carcamo (PRESIDENT) |
Authorized Official Contact | 6268585199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Rafael Community Medical Clinic 647 E Arrow Hwy Azusa CA 91702-5802 Ph: (626) 858-5199 | San Rafael Community Medical Clinic 647 E Arrow Hwy Azusa CA 91702-5802 Ph: (626) 858-5199 |
NPI Number | 1881811404 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 06/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881811404 | NPI | - | NPPES |
GR0090650 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A66675 (California) | Primary |
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