Organization
MINKES & DEERE, M.D.'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA K AGUILAR (OFFICE MANAGER)
(562) 904-1651
Entity
Organization
Contact information
Practice address
11480 BROOKSHIRE AVE, SUITE 111, DOWNEY, CA 90241-5010
(562) 904-1651
(562) 904-1656
Mailing address
11480 BROOKSHIRE AVE, SUITE 111, DOWNEY, CA 90241-5010
(562) 904-1651
(562) 904-1656
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G54147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR00080690
—
CA
01
—
GR0080690
MEDI-CAL
CA
01
—
ZZZ54573Z
BLUE SHIELD
CA
Enumeration date
06/10/2006
Last updated
07/24/2008
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