Vanguard Medical Corporation | |
1100 Bear Mountain Blvd Arvin CA 93203 | |
(661) 459-1020 | |
(661) 459-3535 |
Full Name | Vanguard Medical Corporation |
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Speciality | Clinic/Center |
Location | 1100 Bear Mountain Blvd, Arvin, California |
Authorized Official Name and Position | Novira Sunner (ADMINISTRATOR) |
Authorized Official Contact | 6615995310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vanguard Medical Corporation 565 Kern St Shafter CA 93263-2133 Ph: () - | Vanguard Medical Corporation 1100 Bear Mountain Blvd Arvin CA 93203 Ph: (661) 459-1020 |
NPI Number | 1942970124 |
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Provider Enumeration Date | 09/17/2021 |
Last Update Date | 09/17/2021 |
Medicare PECOS PAC ID | 4587881685 |
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Medicare Enrollment ID | O20220607003269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942970124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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