| Vanguard Medical Corporation | |
|
1100 Bear Mountain Blvd Arvin CA 93203 | |
| (661) 459-1020 | |
| (661) 459-3535 |
| Full Name | Vanguard Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Bear Mountain Blvd, Arvin, California |
| Authorized Official Name and Position | Novira Sunner (ADMINISTRATOR) |
| Authorized Official Contact | 6615995310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Medical Corporation 565 Kern St Shafter CA 93263-2133 Ph: () - | Vanguard Medical Corporation 1100 Bear Mountain Blvd Arvin CA 93203 Ph: (661) 459-1020 |
| NPI Number | 1942970124 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 4587881685 |
|---|---|
| Medicare Enrollment ID | O20220607003269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942970124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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