| Pacific Advantage Medical Group, Inc | |
|
7700 Pacific Blvd Huntington Park CA 90255-6302 | |
| (323) 588-6101 | |
| (323) 553-6015 |
| Full Name | Pacific Advantage Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7700 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | George D Flanigan (CEO/OWNER) |
| Authorized Official Contact | 3235539999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Advantage Medical Group, Inc 7700 Pacific Blvd Huntington Park CA 90255-6302 Ph: (323) 588-6101 | Pacific Advantage Medical Group, Inc 7700 Pacific Blvd Huntington Park CA 90255-6302 Ph: (323) 588-6101 |
| NPI Number | 1124897400 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Medicare PECOS PAC ID | 1254784374 |
|---|---|
| Medicare Enrollment ID | O20240125000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124897400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | George D Flanigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477894889 PECOS PAC ID: 9830083567 Enrollment ID: I20040212000171 |
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