institution
Prode P. Pascual, M.d., Inc.
Primary Care Clinic/Center in Cerritos, California
NPI 1649646209

Prode P. Pascual, M.d., Inc. is a Primary Care Clinic/Center based in Cerritos, CA and is specialized in Primary Care. Prode P. Pascual, M.d., Inc. practices in Cerritos, CA. The NPI Number for Prode P. Pascual, M.d., Inc. is 1649646209 and holds a License No. A30986 (California).

The current practice location address for Prode P. Pascual, M.d., Inc. is 18331 Gridley Rd, Cerritos, CA and can be reached out via phone at 562-865-0213 and via fax at 562-865-1050.

Location: 18331 Gridley Rd, Cerritos, CA, 90703-5438
institution
Provider Profile Details
NPI Number
1649646209
Provider Name
Prode P. Pascual, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
18331 Gridley Rd, Cerritos, CA, 90703-5438
Phone Number
562-865-0213
Fax Number
562-865-1050
Provider Enumeration Date
08/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A309860 05 CA
A30986 01 MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
18331 Gridley Rd
City
State
Zip
90703-5438
Phone Number
562-865-0213
Fax Number
562-865-1050
person
Provider Business Mailing Address Details
Address
18331 Gridley Rd
City
State
Zip
90703-5438
Phone Number
562-865-0213
Fax Number
562-865-1050
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A30986 (California)
Definition
Definition to come...
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