| Clinica Medica Del Sol Group Inc | |
|
1431 N Hacienda Blvd La Puente CA 91744-1133 | |
| (626) 918-3828 | |
| (626) 918-3538 |
| Full Name | Clinica Medica Del Sol Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1431 N Hacienda Blvd, La Puente, California |
| Authorized Official Name and Position | Lisa Toledo (OFFICE MANAGER) |
| Authorized Official Contact | 6269183828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Del Sol Group Inc 1431 N Hacienda Blvd La Puente CA 91744-1133 Ph: (626) 918-3828 | Clinica Medica Del Sol Group Inc 1431 N Hacienda Blvd La Puente CA 91744-1133 Ph: (626) 918-3828 |
| NPI Number | 1174833974 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 06/14/2013 |
| Medicare PECOS PAC ID | 6800076852 |
|---|---|
| Medicare Enrollment ID | O20110208000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174833974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marvin E Urbina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225129281 PECOS PAC ID: 1557266947 Enrollment ID: I20031126000739 |
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