| M.D. Point Community Clinic | |
|
420 Heffernan Ave Calexico CA 92231-4718 | |
| (760) 205-2021 | |
| Not Available |
| Full Name | M.D. Point Community Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 420 Heffernan Ave, Calexico, California |
| Authorized Official Name and Position | Blanca Morales (CEO) |
| Authorized Official Contact | 6193703924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.D. Point Community Clinic 420 Heffernan Ave Ste D Calexico CA 92231-4718 Ph: (619) 370-3924 | M.D. Point Community Clinic 420 Heffernan Ave Calexico CA 92231-4718 Ph: (760) 205-2021 |
| NPI Number | 1215443346 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 02/25/2023 |
| Certification Date | 02/25/2023 |
| Medicare PECOS PAC ID | 1355603937 |
|---|---|
| Medicare Enrollment ID | O20180319001948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215443346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Vitali Aizin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366545733 PECOS PAC ID: 7416965959 Enrollment ID: I20060324000637 |
| Provider Name | Bernard J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104878073 PECOS PAC ID: 1052363918 Enrollment ID: I20080331000240 |
| Provider Name | Sonia Gabriela Ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164659033 PECOS PAC ID: 0244462992 Enrollment ID: I20171120000382 |
| Provider Name | Austin M. Kooba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982756102 PECOS PAC ID: 0446447452 Enrollment ID: I20260403001371 |
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