| Zacoalco Urgent Care Center Inc | |
|
7313 Compton Ave Los Angeles CA 90001-2531 | |
| (323) 588-1383 | |
| (323) 588-2339 |
| Full Name | Zacoalco Urgent Care Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7313 Compton Ave, Los Angeles, California |
| Authorized Official Name and Position | Saul De La Rosa (PRESIDENT) |
| Authorized Official Contact | 3235881383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zacoalco Urgent Care Center Inc 7313 Compton Ave Los Angeles CA 90001-2531 Ph: (323) 588-1383 | Zacoalco Urgent Care Center Inc 7313 Compton Ave Los Angeles CA 90001-2531 Ph: (323) 588-1383 |
| NPI Number | 1669620563 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 01/17/2018 |
| Medicare PECOS PAC ID | 8123380060 |
|---|---|
| Medicare Enrollment ID | O20180313000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669620563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G75144 (California) | Primary |
| Provider Name | Raymond M Menchaca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851339089 PECOS PAC ID: 5092756205 Enrollment ID: I20050518000677 |
| Provider Name | Ricardo E Chambi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518905181 PECOS PAC ID: 1951338300 Enrollment ID: I20050718000908 |
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