| Sarin & Tao Family Medical Clinic, Inc | |
| 
					529 Pine Ave Holtville CA 92250-1121  | |
| (760) 756-3172 | |
| (469) 501-9146 | 
| Full Name | Sarin & Tao Family Medical Clinic, Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 529 Pine Ave, Holtville, California | 
| Authorized Official Name and Position | Vincent V Soun (PRESIDENT/CEO) | 
| Authorized Official Contact | 7607563172 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sarin & Tao Family Medical Clinic, Inc 529 Pine Ave Holtville CA 92250-1121 Ph: (760) 756-3172  | Sarin & Tao Family Medical Clinic, Inc 529 Pine Ave Holtville CA 92250-1121 Ph: (760) 756-3172  | 
| NPI Number | 1952832032 | 
|---|---|
| Provider Enumeration Date | 03/21/2017 | 
| Last Update Date | 05/06/2025 | 
| Medicare PECOS PAC ID | 4486924222 | 
|---|---|
| Medicare Enrollment ID | O20170726003848 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952832032 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (California) | Primary | 
| Provider Name | Vincent Visith Soun | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1235450834 PECOS PAC ID: 6709007669 Enrollment ID: I20141020000457  | 
Raizes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Mets Rd, Holtville, CA 92250 Phone: 760-554-2204  | |
Southwest Rehab Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 Grape Ave, Holtville, CA 92250 Phone: 760-455-3306  |