| Medforce Specialists Medical Group | |
|
55 S Raymond Ave Ste 105 Alhambra CA 91801-7101 | |
| (860) 882-8173 | |
| Not Available |
| Full Name | Medforce Specialists Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 S Raymond Ave Ste 105, Alhambra, California |
| Authorized Official Name and Position | Jilin Bai (DIRECTOR) |
| Authorized Official Contact | 8608828173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medforce Specialists Medical Group 55 S Raymond Ave Ste 105 Alhambra CA 91801-7101 Ph: (860) 882-8173 | Medforce Specialists Medical Group 55 S Raymond Ave Ste 105 Alhambra CA 91801-7101 Ph: (860) 882-8173 |
| NPI Number | 1568287852 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 2365979846 |
|---|---|
| Medicare Enrollment ID | O20241223000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568287852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kyle Raymond Punzalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154908804 PECOS PAC ID: 9032645171 Enrollment ID: I20241212000406 |
| Provider Name | Lily Zhong |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578141941 PECOS PAC ID: 0749717262 Enrollment ID: I20241223001968 |
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