Organization
EL DORADO COMMUNITY SERVICE CENTERS
Active
Other names
El Dorado-Palmdale
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL TAPIA (BILLING SPECIALIST)
(661) 254-6630
Entity
Organization
Contact information
Practice address
2720 E PALMDALE BLVD STE 129-131, PALMDALE, CA 93550-4930
(661) 947-3333
(661) 575-2397
Mailing address
PO BOX 801809, VALENCIA, CA 91380-1809
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
960001031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6905
—
CA
05
—
CMM70729F
—
CA
05
—
HDC70053F
—
CA
Enumeration date
11/07/2006
Last updated
09/24/2018
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