CENTRO MEDICO DEL CARMEN NPI 1821532508

NPI Information

CENTRO MEDICO DEL CARMEN is a general practice in Moreno Valley, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CENTRO MEDICO DEL CARMEN NPI is 1821532508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13373 PERRIS BLVD
SUITE C202A
MORENO VALLEY, CA
ZIP 92553-441
Phone: (951) 242-8155
Fax: (951) 242-8311

The provider's authorized official is Ana Rosa Ascencio .
The authorized official title is Administrative Assistant and has the following contact phone number (213) 219-8054.

The CLIA number assigned to this NPI record is 05D2126182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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