| Holy Trinity Medical Clinic | |
|
1310 Sepulveda Blvd Harbor City CA 90710-1156 | |
| (310) 534-5765 | |
| (310) 534-5913 |
| Full Name | Holy Trinity Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1310 Sepulveda Blvd, Harbor City, California |
| Authorized Official Name and Position | Edgardo Alvarez Osea (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3105345765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Trinity Medical Clinic 1310 Sepulveda Blvd Harbor City CA 90710-1156 Ph: (310) 534-5765 | Holy Trinity Medical Clinic 1310 Sepulveda Blvd Harbor City CA 90710-1156 Ph: (310) 534-5765 |
| NPI Number | 1033398136 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 01/22/2009 |
| Medicare PECOS PAC ID | 2466517479 |
|---|---|
| Medicare Enrollment ID | O20090206000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033398136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A44654 (California) | Primary |
| Provider Name | Edgardo A Osea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699795476 PECOS PAC ID: 6002983004 Enrollment ID: I20080917000110 |
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