| San Marcos Medical | |
|
13307 San Antonio Dr Norwalk CA 90650-2970 | |
| (562) 807-1877 | |
| (562) 868-6795 |
| Full Name | San Marcos Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 13307 San Antonio Dr, Norwalk, California |
| Authorized Official Name and Position | Daniel Uribe (PRESIDENT) |
| Authorized Official Contact | 5628071877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Marcos Medical 13307 San Antonio Dr Norwalk CA 90650-2970 Ph: (562) 807-1877 | San Marcos Medical 13307 San Antonio Dr Norwalk CA 90650-2970 Ph: (562) 807-1877 |
| NPI Number | 1982880845 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 9537294723 |
|---|---|
| Medicare Enrollment ID | O20100312000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982880845 | NPI | - | NPPES |
| 00A420950 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42095 (California) | Primary |
| Provider Name | Daniel Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922049279 PECOS PAC ID: 5092840280 Enrollment ID: I20100312000466 |
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