Union Medical Clinic Inc | |
5421 Pacific Blvd Huntington Park CA 90255 | |
(323) 587-9141 | |
(323) 587-6074 |
Full Name | Union Medical Clinic Inc |
---|---|
Speciality | Internal Medicine |
Location | 5421 Pacific Blvd, Huntington Park, California |
Authorized Official Name and Position | Lorenzo A Alaan (PRESIDENT) |
Authorized Official Contact | 3235879141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Union Medical Clinic Inc Po Box 2189 5421 Pacific Blvd Huntington Park CA 90255 Ph: (323) 587-9141 | Union Medical Clinic Inc 5421 Pacific Blvd Huntington Park CA 90255 Ph: (323) 587-9141 |
NPI Number | 1033252333 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033252333 | NPI | - | NPPES |
8152916 | Other | CA | PIN |
00A35589 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A35589 (California) | Primary |
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