| Tanchoco Children And Adolescent Clinic, Inc. | |
|
1535 W Merced Ave Ste. 306 West Covina CA 91790-3404 | |
| (626) 960-2977 | |
| (626) 960-2979 |
| Full Name | Tanchoco Children And Adolescent Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1535 W Merced Ave, West Covina, California |
| Authorized Official Name and Position | Imelda Tan Tanchoco (PRESIDENT/CEO) |
| Authorized Official Contact | 6269602977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanchoco Children And Adolescent Clinic, Inc. 1535 W Merced Ave Ste. 306 West Covina CA 91790-3404 Ph: (626) 960-2977 | Tanchoco Children And Adolescent Clinic, Inc. 1535 W Merced Ave Ste. 306 West Covina CA 91790-3404 Ph: (626) 960-2977 |
| NPI Number | 1801135702 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801135702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A106359 (California) | Primary |
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