Casa Guadalupe Family Medical Clinic | |
2015 W 1st St Ste K Santa Ana CA 92703-3516 | |
(714) 547-7745 | |
Not Available |
Full Name | Casa Guadalupe Family Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 2015 W 1st St Ste K, Santa Ana, California |
Authorized Official Name and Position | Nancy Garrett (OWNER) |
Authorized Official Contact | 2139234074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Casa Guadalupe Family Medical Clinic 2015 W. 1st Suite K Santa Ana CA 92703 Ph: (714) 547-7745 | Casa Guadalupe Family Medical Clinic 2015 W 1st St Ste K Santa Ana CA 92703-3516 Ph: (714) 547-7745 |
NPI Number | 1487799185 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 02/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487799185 | NPI | - | NPPES |
GR0063230 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 166649 (California) | Primary |
News Archive
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