Vincent V. Soun Md, Inc. | |
1484 S Imperial Ave El Centro CA 92243-4200 | |
(760) 352-3108 | |
(760) 352-3234 |
Full Name | Vincent V. Soun Md, Inc. |
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Speciality | Clinic/Center |
Location | 1484 S Imperial Ave, El Centro, California |
Authorized Official Name and Position | Vincent V Soun (PRESIDENT/CEO) |
Authorized Official Contact | 7603523108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vincent V. Soun Md, Inc. 1484 S Imperial Ave El Centro CA 92243-4200 Ph: (760) 352-3108 | Vincent V. Soun Md, Inc. 1484 S Imperial Ave El Centro CA 92243-4200 Ph: (760) 352-3108 |
NPI Number | 1952832032 |
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Provider Enumeration Date | 03/21/2017 |
Last Update Date | 03/21/2017 |
Medicare PECOS PAC ID | 4486924222 |
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Medicare Enrollment ID | O20170726003848 |
Identifier | Type | State | Issuer |
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1952832032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (California) | Primary |
Provider Name | Vincent Visith Soun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235450834 PECOS PAC ID: 6709007669 Enrollment ID: I20141020000457 |
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