| St. Francis Multispecialty Medical Group, Inc. | |
|
3621 Martin Luther King Jr Blvd Suite 8 Lynwood CA 90262-3512 | |
| (310) 637-0677 | |
| Not Available |
| Full Name | St. Francis Multispecialty Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3621 Martin Luther King Jr Blvd, Lynwood, California |
| Authorized Official Name and Position | Jatin C Bhatt (PRESIDENT) |
| Authorized Official Contact | 5624919281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Francis Multispecialty Medical Group, Inc. 1045 Atlantic Ave Suite 705 Long Beach CA 90813-3408 Ph: (562) 491-9281 | St. Francis Multispecialty Medical Group, Inc. 3621 Martin Luther King Jr Blvd Suite 8 Lynwood CA 90262-3512 Ph: (310) 637-0677 |
| NPI Number | 1225076383 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496795213 |
|---|---|
| Medicare Enrollment ID | O20050510001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225076383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jatin C Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366487357 PECOS PAC ID: 1456356310 Enrollment ID: I20100830000761 |
| Provider Name | Chong H Tak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497861793 PECOS PAC ID: 3971805797 Enrollment ID: I20170109002798 |
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