St Medical Institute | |
4137 Maine Ave Baldwin Park CA 91706-3309 | |
(480) 626-3416 | |
Not Available |
Full Name | St Medical Institute |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 4137 Maine Ave, Baldwin Park, California |
Authorized Official Name and Position | Samer Sannoufi (PRESIDENT) |
Authorized Official Contact | 4806263416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St Medical Institute 6900 Brockton Ave Ste 200 Riverside CA 92506-3818 Ph: (951) 682-6263 | St Medical Institute 4137 Maine Ave Baldwin Park CA 91706-3309 Ph: (480) 626-3416 |
NPI Number | 1477192193 |
---|---|
Provider Enumeration Date | 12/27/2019 |
Last Update Date | 12/27/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477192193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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