| Clinica Buena Salud Inc | |
|
520 W 17th St 1 Santa Ana CA 92706-3614 | |
| (714) 972-2727 | |
| (714) 972-1193 |
| Full Name | Clinica Buena Salud Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 520 W 17th St, Santa Ana, California |
| Authorized Official Name and Position | Daniel Jimenez (DOCTOR) |
| Authorized Official Contact | 7149722727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Buena Salud Inc 520 W 17th St 1 Santa Ana CA 92706-3614 Ph: (714) 972-2727 | Clinica Buena Salud Inc 520 W 17th St 1 Santa Ana CA 92706-3614 Ph: (714) 972-2727 |
| NPI Number | 1982779542 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466549514 |
|---|---|
| Medicare Enrollment ID | O20071106000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982779542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255466801 PECOS PAC ID: 6002876521 Enrollment ID: I20041019000745 |
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