| Su Salud Medical Group Inc | |
|
7418 State St Huntington Park CA 90255-5928 | |
| (323) 835-6298 | |
| (323) 835-6081 |
| Full Name | Su Salud Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 7418 State St, Huntington Park, California |
| Authorized Official Name and Position | Abdel N Abdelsayed (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3239182700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Salud Medical Group Inc 7418 State St Huntington Park CA 90255-5928 Ph: (323) 835-6298 | Su Salud Medical Group Inc 7418 State St Huntington Park CA 90255-5928 Ph: (323) 835-6298 |
| NPI Number | 1104476217 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 6103248349 |
|---|---|
| Medicare Enrollment ID | O20200617001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104476217 | NPI | - | NPPES |
| 1922164961 | Medicaid | CA |
| Provider Name | Adel Abdelsayed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922164961 PECOS PAC ID: 3577505726 Enrollment ID: I20050526001007 |
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