| |
21508 Norwalk Blvd Hawaiian Gardens CA 90716-1122 | |
(562) 865-5214 | |
(562) 865-3619 |
Full Name | |
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Speciality | Family Medicine |
Location | 21508 Norwalk Blvd, Hawaiian Gardens, California |
Authorized Official Name and Position | Jacqueline B. Aguiluz (PRESIDENT) |
Authorized Official Contact | 56286552214 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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21508 Norwalk Blvd Hawaiian Gardens CA 90716-1122 Ph: (562) 865-5214 | 21508 Norwalk Blvd Hawaiian Gardens CA 90716-1122 Ph: (562) 865-5214 |
NPI Number | 1851306724 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 01/31/2008 |
Medicare PECOS PAC ID | 8022040013 |
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Medicare Enrollment ID | O20050910000290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851306724 | NPI | - | NPPES |
00AX74510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A7451 (California) | Primary |
Provider Name | Stephen B Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467468488 PECOS PAC ID: 2163314972 Enrollment ID: I20040331001408 |
Provider Name | Jacqueline B Aguiluz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164572525 PECOS PAC ID: 5193638443 Enrollment ID: I20050912000813 |
Stephen B. Lee, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21508 Norwalk Blvd, Hawaiian Gardens, CA 90716 Phone: 562-865-5214 Fax: 562-865-3619 | |
Daniel Matemotja Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12131 Carson St, Hawaiian Gardens, CA 90716 Phone: 562-809-0299 Fax: 562-809-2510 | |
Alicia G Nugas Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22408 Norwalk Blvd, Hawaiian Gardens, CA 90716 Phone: 562-421-2188 Fax: 562-421-3934 | |
Namiko Nerio, Do, Ms, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21530 Pioneer Blvd, Hawaiian Gardens, CA 90716 Phone: 562-860-0401 | |
Prohealth Partners A Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12321 Carson St Ste 1, Hawaiian Gardens, CA 90716 Phone: 562-809-0299 |