Access Medical Care a Professional Medical Corporation
Organization Active NPI Family Medicine Physician · Pico Rivera, CA
NPI 1598794331 · NPPES record last updated Jan 11, 2011
Key facts
- NPI
- 1598794331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ACCESS MEDICAL CARE A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 6632 Rosemead Blvd
Pico Rivera, CA 90660-3533 - Phone
- (562) 654-2828
- Fax
- (562) 654-2830
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edwin Tan Yu, M.D.
- Title
- Partner
- Phone
- (562) 654-2828
Practitioners 2
-
Edwin Tan Yu, M.D.
-
Jose Botor Regullano, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110319000004 | CA | Part B Supplier - Clinic/Group Practice | 6901844885 |
Receives reassigned benefits from 2 practitioners Practice locations: Pico Rivera, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
6632 Rosemead Blvd
Pico Rivera, CA 90660-3533
Mailing address
6632 Rosemead Blvd
Pico Rivera, CA 90660-3533
Phone (562) 654-2828
Other names
- PICO URGENT CARE
Other providers in Pico Rivera, CA
All providers in Pico Rivera, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.