Vista Community Clinic | |
201 S Harbor Blvd La Habra CA 90631-5654 | |
(760) 631-5000 | |
Not Available |
Full Name | Vista Community Clinic |
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Speciality | Clinic/Center |
Location | 201 S Harbor Blvd, La Habra, California |
Authorized Official Name and Position | Michele Lambert (CFO) |
Authorized Official Contact | 7606315000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vista Community Clinic 1000 Vale Terrace Dr Vista CA 92084-5218 Ph: () - | Vista Community Clinic 201 S Harbor Blvd La Habra CA 90631-5654 Ph: (760) 631-5000 |
NPI Number | 1497203541 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 08/23/2023 |
Medicare PECOS PAC ID | 0042120156 |
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Medicare Enrollment ID | O20030620000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497203541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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