| Clinica Medica Hispana Medical Corp. | |
|
14906 Paramount Blvd Paramount CA 90723-3409 | |
| (562) 630-1991 | |
| (562) 630-0145 |
| Full Name | Clinica Medica Hispana Medical Corp. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14906 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Nabil Horacio Khoury (PRESIDENT-MEDICAL DIRECTOR) |
| Authorized Official Contact | 5626301991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Hispana Medical Corp. 14906 Paramount Blvd Paramount CA 90723-3409 Ph: (562) 630-1991 | Clinica Medica Hispana Medical Corp. 14906 Paramount Blvd Paramount CA 90723-3409 Ph: (562) 630-1991 |
| NPI Number | 1972563617 |
|---|---|
| Provider Enumeration Date | 03/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486696770 |
|---|---|
| Medicare Enrollment ID | O20050526000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972563617 | NPI | - | NPPES |
| GR0060690 | Medicaid | CA |
| Provider Name | Maribel P Khoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184659609 PECOS PAC ID: 8224030168 Enrollment ID: I20070206000690 |
| Provider Name | Nabil Horacio Khoury |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720007289 PECOS PAC ID: 8325040264 Enrollment ID: I20120202000110 |
| Provider Name | Kathiria Rosario Plascencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174261523 PECOS PAC ID: 1759767221 Enrollment ID: I20221006001619 |
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