| Mitla Professional Nursing Care, Inc | |
|
4111 Maine Ave Baldwin Park CA 91706-3307 | |
| (626) 939-0676 | |
| (626) 517-5482 |
| Full Name | Mitla Professional Nursing Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4111 Maine Ave, Baldwin Park, California |
| Authorized Official Name and Position | Antonio Martinez (CEO) |
| Authorized Official Contact | 3233690955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitla Professional Nursing Care, Inc 4111 Maine Ave Baldwin Park CA 91706-3307 Ph: () - | Mitla Professional Nursing Care, Inc 4111 Maine Ave Baldwin Park CA 91706-3307 Ph: (626) 939-0676 |
| NPI Number | 1811750425 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 2264978873 |
|---|---|
| Medicare Enrollment ID | O20240718004976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811750425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Earla E Quisido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639218340 PECOS PAC ID: 0042258832 Enrollment ID: I20050421001021 |
| Provider Name | Antonio Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528236981 PECOS PAC ID: 1557423431 Enrollment ID: I20081231000373 |
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 Ste A, Baldwin Park, CA 91706 Phone: 626-962-5141 Fax: 626-962-5141 |