| 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 | 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 |
| Certification 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 | () | Primary |
| Provider Name | Antonio Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528236981 PECOS PAC ID: 1557423431 Enrollment ID: I20081231000373 |
| Provider Name | Eluar Mendez Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487233946 PECOS PAC ID: 1153728969 Enrollment ID: I20260603001653 |
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