Del-carmen Medical Group | |
19234 Vanowen St Reseda CA 91335-5000 | |
(310) 914-9150 | |
(310) 914-9750 |
Full Name | Del-carmen Medical Group |
---|---|
Speciality | Internal Medicine |
Location | 19234 Vanowen St, Reseda, California |
Authorized Official Name and Position | Marvin Pietruszka (MEDICAL DOCTOR) |
Authorized Official Contact | 3109149150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Del-carmen Medical Group 19234 Vanowen St Reseda CA 91335-5000 Ph: (310) 914-9150 | Del-carmen Medical Group 19234 Vanowen St Reseda CA 91335-5000 Ph: (310) 914-9150 |
NPI Number | 1386757086 |
---|---|
Provider Enumeration Date | 08/16/2006 |
Last Update Date | 08/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386757086 | NPI | - | NPPES |
00A308580 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A30858 (California) | Primary |
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