| Lourdes G Bahamonde Do Inc | |
|
7643 Atlantic Ave Cudahy CA 90201-5019 | |
| (213) 373-1265 | |
| Not Available |
| Full Name | Lourdes G Bahamonde Do Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7643 Atlantic Ave, Cudahy, California |
| Authorized Official Name and Position | Lourdes G Bahamonde (CEO) |
| Authorized Official Contact | 5165269192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes G Bahamonde Do Inc 147 N Mayflower Ave Monrovia CA 91016-2005 Ph: () - | Lourdes G Bahamonde Do Inc 7643 Atlantic Ave Cudahy CA 90201-5019 Ph: (213) 373-1265 |
| NPI Number | 1609533587 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 11/30/2021 |
| Medicare PECOS PAC ID | 2567854367 |
|---|---|
| Medicare Enrollment ID | O20220127001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609533587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Lourdes Gonzalez Bahamonde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134381619 PECOS PAC ID: 3779623608 Enrollment ID: I20150911002063 |
Marco A. Martinez, M.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4566 Florence Ave, Suite #5, Cudahy, CA 90201 Phone: 323-771-7466 Fax: 323-771-4920 | |
South Central Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4811 Elizabeth St, Cudahy, CA 90201 Phone: 323-908-4200 Fax: 323-908-4256 | |
Clinica Santa Clara Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7643 Atlantic Ave, Cudahy, CA 90201 Phone: 323-771-1713 Fax: 323-562-1302 | |
South Central Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7910 Atlantic Ave Ste M, Cudahy, CA 90201 Phone: 323-908-4247 |