| Health Link Medical Group Inc | |
|
3142 Vista Way Ste 206 Oceanside CA 92056-3619 | |
| (760) 721-4000 | |
| (760) 721-4005 |
| Full Name | Health Link Medical Group Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3142 Vista Way, Oceanside, California |
| Authorized Official Name and Position | Jacob Flores (OWNER) |
| Authorized Official Contact | 7608094045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Link Medical Group Inc 3142 Vista Way Ste 206 Oceanside CA 92056-3619 Ph: (760) 721-4000 | Health Link Medical Group Inc 3142 Vista Way Ste 206 Oceanside CA 92056-3619 Ph: (760) 721-4000 |
| NPI Number | 1013366236 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 4284929910 |
|---|---|
| Medicare Enrollment ID | O20160819001679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013366236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | A60865 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 20A13788 (California) | Primary |
| Provider Name | Jacob N Flores |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164469201 PECOS PAC ID: 7719960434 Enrollment ID: I20040611001036 |
| Provider Name | Paul S Handleman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922163179 PECOS PAC ID: 5799935862 Enrollment ID: I20121025000680 |
| Provider Name | Ronald S Cohen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073588786 PECOS PAC ID: 7012159817 Enrollment ID: I20130807000348 |
| Provider Name | Stephen Derrington |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164795068 PECOS PAC ID: 0840507190 Enrollment ID: I20150918000301 |
| Provider Name | Shounuck I Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356678692 PECOS PAC ID: 2769778380 Enrollment ID: I20160908000969 |
| Provider Name | Katia Nikita Riquelme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619415122 PECOS PAC ID: 5294001277 Enrollment ID: I20171018002260 |
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