| Clinica De Salud Medical Group | |
|
1155 W Central Ave Ste 107 Santa Ana CA 92707-3165 | |
| (714) 557-4080 | |
| (714) 557-2251 |
| Full Name | Clinica De Salud Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1155 W Central Ave, Santa Ana, California |
| Authorized Official Name and Position | Felix Francisco Carpio-cedraro (PRESIDENT / CEO) |
| Authorized Official Contact | 7145574080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Salud Medical Group 1155 W Central Ave Ste 107 Santa Ana CA 92707-3165 Ph: (714) 557-4080 | Clinica De Salud Medical Group 1155 W Central Ave Ste 107 Santa Ana CA 92707-3165 Ph: (714) 557-4080 |
| NPI Number | 1427155597 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427155597 | NPI | - | NPPES |
| GR0071720 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A53568 (California) | Primary |
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