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9217 Whittier Blvd Pico Rivera CA 90660-2450 | |
| (562) 699-5888 | |
| (562) 699-2955 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 9217 Whittier Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Jawahar Sundaram (OWNER) |
| Authorized Official Contact | 5626995888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9217 Whittier Blvd Pico Rivera CA 90660-2450 Ph: (562) 699-5888 | 9217 Whittier Blvd Pico Rivera CA 90660-2450 Ph: (562) 699-5888 |
| NPI Number | 1992039473 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992039473 | NPI | - | NPPES |
| PA21327 | Medicaid | CA | |
| PA21547 | Medicaid | CA | |
| 20A7566 | Medicaid | CA |
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