El Centro Hospital Based Physician | |
1415 Ross Ave El Centro CA 92243-4306 | |
(760) 339-7100 | |
(760) 339-7389 |
Full Name | El Centro Hospital Based Physician |
---|---|
Speciality | Internal Medicine |
Location | 1415 Ross Ave, El Centro, California |
Authorized Official Name and Position | Maria E Ramirez (CO-OWNER) |
Authorized Official Contact | 8584950971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
El Centro Hospital Based Physician 11438 Stockwood Cv San Diego CA 92131-4254 Ph: (858) 495-0971 | El Centro Hospital Based Physician 1415 Ross Ave El Centro CA 92243-4306 Ph: (760) 339-7100 |
NPI Number | 1003059700 |
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Provider Enumeration Date | 04/09/2009 |
Last Update Date | 04/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003059700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A60709 (California) | Primary |
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