| Whole Family Health, Pc | |
|
1030 S Glendale Ave Ste 200 Glendale CA 91205-2866 | |
| (818) 850-5667 | |
| (818) 839-2303 |
| Full Name | Whole Family Health, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 S Glendale Ave Ste 200, Glendale, California |
| Authorized Official Name and Position | Bianca Leitel Zamorano (CORPORATE SECRETARY) |
| Authorized Official Contact | 5622011185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Family Health, Pc 1030 S Glendale Ave Ste 200 Glendale CA 91205-2866 Ph: (818) 850-5667 | Whole Family Health, Pc 1030 S Glendale Ave Ste 200 Glendale CA 91205-2866 Ph: (818) 850-5667 |
| NPI Number | 1346557691 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 2567657083 |
|---|---|
| Medicare Enrollment ID | O20101110000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346557691 | NPI | - | NPPES |
| 1346557691 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Antonio Zamorano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043482060 PECOS PAC ID: 3476748997 Enrollment ID: I20101110000721 |
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