| Nova Care Clinic, Inc | |
|
2944 E Anaheim St Long Beach CA 90804-3726 | |
| (562) 599-5777 | |
| (714) 844-4520 |
| Full Name | Nova Care Clinic, Inc |
|---|---|
| Speciality | General Practice |
| Location | 2944 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Katie Tran (OPERATION MANAGER) |
| Authorized Official Contact | 5625995777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Care Clinic, Inc 2944 E Anaheim St Long Beach CA 90804-3726 Ph: (562) 599-5777 | Nova Care Clinic, Inc 2944 E Anaheim St Long Beach CA 90804-3726 Ph: (562) 599-5777 |
| NPI Number | 1205786621 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 02/03/2026 |
| Certification Date | 02/03/2026 |
| Medicare PECOS PAC ID | 5890265136 |
|---|---|
| Medicare Enrollment ID | O20260527003762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205786621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Kunthy Prum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760582738 PECOS PAC ID: 2466576525 Enrollment ID: I20100826000987 |
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