| Mayflower Medical Group, Inc. | |
|
140 N Orange Ave. Suite 100 West Covina CA 91790-2032 | |
| (626) 800-1200 | |
| (626) 962-2471 |
| Full Name | Mayflower Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 140 N Orange Ave., West Covina, California |
| Authorized Official Name and Position | Araceli Fuentes (CONTRACTS MANAGER) |
| Authorized Official Contact | 6268001200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayflower Medical Group, Inc. 140 N Orange Ave. Suite 100 West Covina CA 91790-2032 Ph: (626) 800-1200 | Mayflower Medical Group, Inc. 140 N Orange Ave. Suite 100 West Covina CA 91790-2032 Ph: (626) 800-1200 |
| NPI Number | 1003188160 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003188160 | NPI | - | NPPES |
| 6409040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A46009 (California) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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