Organization
HERRERA & OBESO MEDICAL GROUP INC
Active
Other names
Herrera & Obeso Medical Group INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA S SANTOS (PRACTICE MANAGER)
(626) 337-1800
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE STE 211, WEST COVINA, CA 91790-3938
(626) 337-1800
(626) 337-1449
Mailing address
1135 S SUNSET AVE STE 211, WEST COVINA, CA 91790-3938
(626) 337-1800
(626) 337-1449
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
302F00000X
Exclusive Provider Organization
AO54745
CA
302R00000X
Health Maintenance Organization
AO54745
CA
305R00000X
Preferred Provider Organization
AO54745
CA
305S00000X
Point of Service
AO54745
CA
Other
Enumeration date
05/14/2007
Last updated
10/31/2023
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