| Azusa Way Family Medical Clinic | |
|
561 S Azusa Way La Puente CA 91744-5113 | |
| (626) 912-6670 | |
| Not Available |
| Full Name | Azusa Way Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 561 S Azusa Way, La Puente, California |
| Authorized Official Name and Position | Hoda Farid (DIRCECTOR) |
| Authorized Official Contact | 6269126670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azusa Way Family Medical Clinic 561 S Azusa Way La Puente CA 91744-5113 Ph: (626) 912-6670 | Azusa Way Family Medical Clinic 561 S Azusa Way La Puente CA 91744-5113 Ph: (626) 912-6670 |
| NPI Number | 1508055922 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508055922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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