| La Providencia Ipa, Inc. | |
|
14342 Ramona Blvd Baldwin Park CA 91706-3241 | |
| (562) 463-0172 | |
| Not Available |
| Full Name | La Providencia Ipa, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 14342 Ramona Blvd, Baldwin Park, California |
| Authorized Official Name and Position | Samuel Wosk (SECRETARY) |
| Authorized Official Contact | 5624630172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Providencia Ipa, Inc. 14342 Ramona Blvd Baldwin Park CA 91706-3241 Ph: () - | La Providencia Ipa, Inc. 14342 Ramona Blvd Baldwin Park CA 91706-3241 Ph: (562) 463-0172 |
| NPI Number | 1760906507 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760906507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 71133 (California) | Secondary |
| 207Q00000X | Family Medicine | 45086 (California) | Secondary |
| 207R00000X | Internal Medicine | 56374 (California) | Primary |
Amado D. Mandani M.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14338 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-962-7886 Fax: 626-962-4636 | |
Rao L. Atluri,md,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14051 E. Ramona Parkway, Baldwin Park, CA 91706 Phone: 626-338-7338 Fax: 626-338-0201 | |
Baldwin Park Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 | |
Herman Carrillo,m.d. & Marvin Urbina Md Proffesional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14342 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-338-4088 Fax: 626-814-9068 | |
El Proyecto Del Barrio,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3942 Maine Ave, Baldwin Park, CA 91706 Phone: 626-969-7885 | |
Baldwin Park Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 | |
Jyh C. Chang Md, Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4318 Maine Ave, Baldwin Park, CA 91706 Phone: 626-962-5141 Fax: 626-338-4191 |