| Para Latino Medical Center Inc | |
|
15717 Paramount Blvd Paramount CA 90723-5113 | |
| (562) 531-2231 | |
| (532) 531-8845 |
| Full Name | Para Latino Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15717 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Khai Q Tran (MEDICAL DIRECTOR AND OWNER) |
| Authorized Official Contact | 5625312231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Para Latino Medical Center Inc Po Box 47 Paramount CA 90723-0047 Ph: (562) 531-2231 | Para Latino Medical Center Inc 15717 Paramount Blvd Paramount CA 90723-5113 Ph: (562) 531-2231 |
| NPI Number | 1356498935 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 04/06/2009 |
| Medicare PECOS PAC ID | 5092855635 |
|---|---|
| Medicare Enrollment ID | O20091212000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356498935 | NPI | - | NPPES |
| GR0085780 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7325 (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | G67118 (California) | Secondary |
| 208000000X | Pediatrics | A52088 (California) | Secondary |
| Provider Name | Karen M Barbosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063583854 PECOS PAC ID: 0941114482 Enrollment ID: I20031118000643 |
| Provider Name | Khai Q Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497802003 PECOS PAC ID: 3476529900 Enrollment ID: I20040907000922 |
| Provider Name | Yolanda A Zapanta-novero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457452310 PECOS PAC ID: 1456491091 Enrollment ID: I20110404000292 |
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