| West County Medical Corporation | |
|
2272 Pacific Avenue Long Beach CA 90806 | |
| (562) 427-8018 | |
| (562) 427-8130 |
| Full Name | West County Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2272 Pacific Avenue, Long Beach, California |
| Authorized Official Name and Position | Pramesh Prakash Sharma (SR V P) |
| Authorized Official Contact | 6612546630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Medical Corporation 26460 Summit Cir Santa Clarita CA 91350-2991 Ph: (661) 254-6630 | West County Medical Corporation 2272 Pacific Avenue Long Beach CA 90806 Ph: (562) 427-8018 |
| NPI Number | 1750537437 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 02/06/2020 |
| Medicare PECOS PAC ID | 2365571288 |
|---|---|
| Medicare Enrollment ID | O20200421000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750537437 | NPI | - | NPPES |
| 19-128 | Other | CA | STATE NTP LICENSE |
| 19-128 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960001048 (California) | Primary |
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