| La Esperanza Medical Clinic, Inc | |
|
5985 Florence Ave Ste O Bell Gardens CA 90201-6755 | |
| (562) 381-2235 | |
| (562) 381-2902 |
| Full Name | La Esperanza Medical Clinic, Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 5985 Florence Ave Ste O, Bell Gardens, California |
| Authorized Official Name and Position | Elvira P Flores (SECRETARY) |
| Authorized Official Contact | 5626827683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Esperanza Medical Clinic, Inc 5985 Florence Ave Ste O Bell Gardens CA 90201-6755 Ph: (562) 381-2235 | La Esperanza Medical Clinic, Inc 5985 Florence Ave Ste O Bell Gardens CA 90201-6755 Ph: (562) 381-2235 |
| NPI Number | 1528553211 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Medicare PECOS PAC ID | 5193065894 |
|---|---|
| Medicare Enrollment ID | O20190315001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528553211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Secondary |
| 208000000X | Pediatrics | (California) | Primary |
| Provider Name | Jose M Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427078781 PECOS PAC ID: 9032009329 Enrollment ID: I20040318001739 |
| Provider Name | Elvira P Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326325069 PECOS PAC ID: 1850477977 Enrollment ID: I20161019001442 |
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