| Lake Elsinore Clinica Medica Familiar A Medical Corporation | |
|
31739 Riverside Dr Suite A-1 Lake Elsinore CA 92530-7818 | |
| (951) 245-0505 | |
| (951) 245-0999 |
| Full Name | Lake Elsinore Clinica Medica Familiar A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 31739 Riverside Dr, Lake Elsinore, California |
| Authorized Official Name and Position | Octavio Ruiz-villalpando (PRESIDENT) |
| Authorized Official Contact | 9512450505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Elsinore Clinica Medica Familiar A Medical Corporation 31739 Riverside Dr Suite A-1 Lake Elsinore CA 92530-7818 Ph: (951) 245-0505 | Lake Elsinore Clinica Medica Familiar A Medical Corporation 31739 Riverside Dr Suite A-1 Lake Elsinore CA 92530-7818 Ph: (951) 245-0505 |
| NPI Number | 1851625396 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Medicare PECOS PAC ID | 7012100910 |
|---|---|
| Medicare Enrollment ID | O20101025000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851625396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A92039 (California) | Primary |
| Provider Name | Philip Delgado |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235355942 PECOS PAC ID: 7911052170 Enrollment ID: I20090911000446 |
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