| Your Community Medical Group Inc | |
|
6300 Florence Ave Bell Gardens CA 90201-8900 | |
| (562) 928-9700 | |
| (562) 928-8300 |
| Full Name | Your Community Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6300 Florence Ave, Bell Gardens, California |
| Authorized Official Name and Position | Samuel Leroy Mcmillan (OWNER) |
| Authorized Official Contact | 5629289700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Community Medical Group Inc 6300 Florence Ave Bell Gardens CA 90201-8900 Ph: (562) 928-9700 | Your Community Medical Group Inc 6300 Florence Ave Bell Gardens CA 90201-8900 Ph: (562) 928-9700 |
| NPI Number | 1558660126 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558660126 | NPI | - | NPPES |
| C39834 | Other | CA | STATE LIC NUMBER |
| 00C398340 | Medicaid | CA | |
| 00C398341 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C39834 (California) | Primary |
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