| Vanguard Medical Corporation | |
|
845 7th Street Wasco CA 93280-1919 | |
| (661) 746-4937 | |
| (661) 746-3389 |
| Full Name | Vanguard Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 845 7th Street, Wasco, 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 |
|---|---|
| Vanguard Medical Corporation 565 Kern St Shafter CA 93263-2133 Ph: (661) 746-4937 | Vanguard Medical Corporation 845 7th Street Wasco CA 93280-1919 Ph: (661) 746-4937 |
| NPI Number | 1558801829 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 4587881685 |
|---|---|
| Medicare Enrollment ID | O20170616001378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558801829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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