| De La Paz Medical Centre Inc | |
|
934 S Euclid St Anaheim CA 92802 | |
| (714) 254-0224 | |
| (714) 254-0234 |
| Full Name | De La Paz Medical Centre Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 934 S Euclid St, Anaheim, California |
| Authorized Official Name and Position | Sarah Kirya (PRESIDENT) |
| Authorized Official Contact | 7143560999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Paz Medical Centre Inc 934 S Euclid St Anaheim CA 92802-1523 Ph: (714) 254-0224 | De La Paz Medical Centre Inc 934 S Euclid St Anaheim CA 92802 Ph: (714) 254-0224 |
| NPI Number | 1447593868 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 2567780307 |
|---|---|
| Medicare Enrollment ID | O20150408000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447593868 | NPI | - | NPPES |
| 1447593868 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77372 (California) | Primary |
| Provider Name | John C Hiserodt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235296864 PECOS PAC ID: 5991700353 Enrollment ID: I20070427000583 |
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