Clinica Medica San Miguel Ipa, A Medical Group, Inc. in San Marino - Exclusive Provider Organization

Clinica Medica San Miguel Ipa, A Medical Group, Inc. - NPI 1447445200

Clinica Medica San Miguel Ipa, A Medical Group, Inc. is a Exclusive Provider Organization in San Marino, California. Clinica Medica San Miguel Ipa, A Medical Group, Inc. practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Clinica Medica San Miguel Ipa, A Medical Group, Inc. is 1447445200. The last update date is 2007-09-13.

Clinica Medica San Miguel Ipa, A Medical Group, Inc.'s current location address is 2360 Huntington Dr Ste 201, San Marino, California. You can contact this provider via phone number 6266562370 and fax number 6262489060. The mailing address for Clinica Medica San Miguel Ipa, A Medical Group, Inc. is 2360 Huntington Dr Ste 201, San Marino, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clinica Medica San Miguel Ipa, A Medical Group, Inc.
Address 2360 Huntington Dr Ste 201, San Marino, California
Phone Number 6266562370
Fax Number 6262489060
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Pham N Lan
Credentials MPH
Telephone Number 6266562370

NPI Number Detail

NPI Number 1447445200
Provider Enumeration Date 2007-09-13
Last Updated Date 2007-09-13

Provider Mailing Address Detail

Address 2360 Huntington Dr Ste 201
City San Marino
State California (CA)
Post Code 911082651
Phone Number 6266562370
Fax Number 6262489060

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

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FAQs about Clinica Medica San Miguel Ipa, A Medical Group, Inc.

What is the unique identifier code issued to Clinica Medica San Miguel Ipa, A Medical Group, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Clinica Medica San Miguel Ipa, A Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1447445200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Clinica Medica San Miguel Ipa, A Medical Group, Inc. is physically located?

The Clinica Medica San Miguel Ipa, A Medical Group, Inc. is physically situated at the following address: 2360 Huntington Dr Ste 201, San Marino, CA, 911082651.

What is Clinica Medica San Miguel Ipa, A Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Clinica Medica San Miguel Ipa, A Medical Group, Inc.'s area of specialization is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 302F00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447445200 to Clinica Medica San Miguel Ipa, A Medical Group, Inc.?

The Clinica Medica San Miguel Ipa, A Medical Group, Inc. received its 1447445200 assignment from the Centers for Medicare & Medicaid Services on 2007-09-13.

As of what date were the Clinica Medica San Miguel Ipa, A Medical Group, Inc.'s details last updated?

The information pertaining to the Clinica Medica San Miguel Ipa, A Medical Group, Inc., including its address, specialty, and other details, was most recently updated on 2007-09-13.

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