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437 Grape Ave Holtville CA 92250-1505 | |
| (760) 455-3306 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 437 Grape Ave, Holtville, California |
| Authorized Official Name and Position | Romulo Garcia (OWNER) |
| Authorized Official Contact | 7604553306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2300 Ashton Ct Imperial CA 92251-8803 Ph: (760) 455-3306 | 437 Grape Ave Holtville CA 92250-1505 Ph: (760) 455-3306 |
| NPI Number | 1578755633 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578755633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Raizes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Mets Rd, Holtville, CA 92250 Phone: 760-554-2204 |