| M & M Medical Clinic Inc. | |
|
495 North Main Street Blythe CA 92225 | |
| (760) 922-3141 | |
| Not Available |
| Full Name | M & M Medical Clinic Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 495 North Main Street, Blythe, California |
| Authorized Official Name and Position | Emmanuel R. Mofu (CEO) |
| Authorized Official Contact | 7609223141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M & M Medical Clinic Inc. 495 North Main Street Blythe CA 92225 Ph: (760) 922-3141 | M & M Medical Clinic Inc. 495 North Main Street Blythe CA 92225 Ph: (760) 922-3141 |
| NPI Number | 1932541679 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932541679 | NPI | - | NPPES |
| 00C36558 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C36558 (California) | Primary |
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