Citrus Valley Family Medical Clinic, Inc. | |
1400 N Hacienda Blvd La Puente CA 91744-1187 | |
(626) 931-2200 | |
(626) 931-2203 |
Full Name | Citrus Valley Family Medical Clinic, Inc. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1400 N Hacienda Blvd, La Puente, California |
Authorized Official Name and Position | Jorge I Jaramillo (PRESIDENT) |
Authorized Official Contact | 6269312200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Citrus Valley Family Medical Clinic, Inc. 1400 N Hacienda Blvd La Puente CA 91744-1187 Ph: (626) 931-2200 | Citrus Valley Family Medical Clinic, Inc. 1400 N Hacienda Blvd La Puente CA 91744-1187 Ph: (626) 931-2200 |
NPI Number | 1598833469 |
---|---|
Provider Enumeration Date | 12/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598833469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A48167 (California) | Primary |
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