| My Hope Medical Group Inc | |
|
1110 W La Palma Ave Ste 10 Anaheim CA 92801-2826 | |
| (714) 603-7366 | |
| Not Available |
| Full Name | My Hope Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1110 W La Palma Ave Ste 10, Anaheim, California |
| Authorized Official Name and Position | Maria Virginia Caballero (OWNER) |
| Authorized Official Contact | 7142929025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Hope Medical Group Inc 1110 W La Palma Ave Ste 10 Anaheim CA 92801-2826 Ph: (714) 603-7366 | My Hope Medical Group Inc 1110 W La Palma Ave Ste 10 Anaheim CA 92801-2826 Ph: (714) 603-7366 |
| NPI Number | 1447076781 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 3274057492 |
|---|---|
| Medicare Enrollment ID | O20250409003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447076781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerardo Canchola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639185879 PECOS PAC ID: 0547210643 Enrollment ID: I20100628000844 |
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