| Tincopa Medical Clinic | |
|
6301 Greenleaf Ave Whittier CA 90601-3536 | |
| (562) 693-9880 | |
| Not Available |
| Full Name | Tincopa Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6301 Greenleaf Ave, Whittier, California |
| Authorized Official Name and Position | Teresa Arelene Tincopa (SECRETARY) |
| Authorized Official Contact | 5626939880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tincopa Medical Clinic 6301 Greenleaf Ave Whittier CA 90601-3536 Ph: (562) 693-9880 | Tincopa Medical Clinic 6301 Greenleaf Ave Whittier CA 90601-3536 Ph: (562) 693-9880 |
| NPI Number | 1982032520 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Medicare PECOS PAC ID | 0749690907 |
|---|---|
| Medicare Enrollment ID | O20201029002510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982032520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A25202 (California) | Primary |
| Provider Name | Teresa Arlene Tincopa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609853233 PECOS PAC ID: 2466676150 Enrollment ID: I20140619002226 |
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