San Martin De Porres Medical Clinic Inc in Pico Rivera - General Practice
San Martin De Porres Medical Clinic Inc - NPI 1215953609
San Martin De Porres Medical Clinic Inc is a General Practice in Pico Rivera, California. San Martin De Porres Medical Clinic Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for San Martin De Porres Medical Clinic Inc is 1215953609. The last update date is 2015-01-20.
San Martin De Porres Medical Clinic Inc's current location address is 9315 Telegraph Rd, Pico Rivera, California. You can contact this provider via phone number 5626546855 and fax number 5626546856. The mailing address for San Martin De Porres Medical Clinic Inc is 9315 Telegraph Rd, Pico Rivera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Martin De Porres Medical Clinic Inc |
|---|---|
| Address | 9315 Telegraph Rd, Pico Rivera, California |
| Phone Number | 5626546855 |
| Fax Number | 5626546856 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Paredes Edgardo Francisco |
| Credentials | M.D. |
| Telephone Number | 5626546855 |
NPI Number Detail
| NPI Number | 1215953609 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2015-01-20 |
Provider Mailing Address Detail
| Address | 9315 Telegraph Rd |
|---|---|
| City | Pico Rivera |
| State | California (CA) |
| Post Code | 906605424 |
| Phone Number | 5626546855 |
| Fax Number | 5626546856 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A24482 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ80011Z | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to San Martin De Porres Medical Clinic Inc by the Centers for Medicare & Medicaid Services?
The San Martin De Porres Medical Clinic Inc has been assigned the NPI (National Provider Identifier) 1215953609 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where San Martin De Porres Medical Clinic Inc is geographically located?
The San Martin De Porres Medical Clinic Inc is physically situated at the following location: 9315 Telegraph Rd, Pico Rivera, CA, 906605424.
What is the San Martin De Porres Medical Clinic Inc's specialty and taxonomy code?
The San Martin De Porres Medical Clinic Inc's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215953609 to San Martin De Porres Medical Clinic Inc?
The San Martin De Porres Medical Clinic Inc received its 1215953609 assignment from the Centers for Medicare & Medicaid Services on 2006-07-15.
When was the information related to San Martin De Porres Medical Clinic Inc most recently updated or refreshed?
The details pertaining to the San Martin De Porres Medical Clinic Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-20.
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