| Santa Elena Medical Care | |
|
5036 Passons Blvd. Suite 2 Pico Rivera CA 90660 | |
| (562) 654-2800 | |
| (562) 654-2802 |
| Full Name | Santa Elena Medical Care |
|---|---|
| Speciality | General Practice |
| Location | 5036 Passons Blvd., Pico Rivera, California |
| Authorized Official Name and Position | Ralph G. Kuon (CEO) |
| Authorized Official Contact | 5626542800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Elena Medical Care 5036 Passons Blvd. Suite 2 Pico Rivera CA 90660 Ph: (562) 654-2800 | Santa Elena Medical Care 5036 Passons Blvd. Suite 2 Pico Rivera CA 90660 Ph: (562) 654-2800 |
| NPI Number | 1265617393 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 6103951702 |
|---|---|
| Medicare Enrollment ID | O20210726001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265617393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ralph Kuon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780045898 PECOS PAC ID: 5991119570 Enrollment ID: I20210121001923 |
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