| Clinica Agua Viva-woodlake | |
|
101 N Palm St Woodlake CA 93286-1422 | |
| (559) 564-1100 | |
| (559) 789-9828 |
| Full Name | Clinica Agua Viva-woodlake |
|---|---|
| Speciality | Family Medicine |
| Location | 101 N Palm St, Woodlake, California |
| Authorized Official Name and Position | Brandy Leyva (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 5597198108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Agua Viva-woodlake 222 W Henderson Ave Porterville CA 93257-1731 Ph: (559) 784-5483 | Clinica Agua Viva-woodlake 101 N Palm St Woodlake CA 93286-1422 Ph: (559) 564-1100 |
| NPI Number | 1174237135 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 9436395324 |
|---|---|
| Medicare Enrollment ID | O20230324000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174237135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Clinica El Lago Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Palm St, Woodlake, CA 93286 Phone: 559-564-1100 Fax: 559-564-1101 | |
Woodlake Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Antelope Ave, Woodlake, CA 93286 Phone: 559-564-3538 Fax: 559-564-8411 |