| Wellcare Health Center Med Group Inc, | |
|
631 E Colorado St Glendale CA 91205-1797 | |
| (818) 507-8181 | |
| (818) 507-9431 |
| Full Name | Wellcare Health Center Med Group Inc, |
|---|---|
| Speciality | Family Medicine |
| Location | 631 E Colorado St, Glendale, California |
| Authorized Official Name and Position | Veronica Baghdasaryan (OFFICE MANAGER) |
| Authorized Official Contact | 8184847092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcare Health Center Med Group Inc, 631 E Colorado St Glendale CA 91205-1797 Ph: (818) 484-7092 | Wellcare Health Center Med Group Inc, 631 E Colorado St Glendale CA 91205-1797 Ph: (818) 507-8181 |
| NPI Number | 1215540836 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215540836 | NPI | - | NPPES |
| A66411 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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