Alan Mare, MD | |
1117 E Devonshire Ave, Hemet, CA 92543-3083 | |
(951) 925-6317 | |
(951) 765-4829 |
Full Name | Alan Mare |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1117 E Devonshire Ave, Hemet, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609889518 | NPI | - | NPPES |
00G109430 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | G10943 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G10943 (California) | Primary |
Entity Name | Valley Pathology Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275546129 PECOS PAC ID: 0840237855 Enrollment ID: O20050412000336 |
Mailing Address | Practice Location Address |
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Alan Mare, MD Po Box 6388, San Pedro, CA 90734-6388 Ph: (310) 225-3244 | Alan Mare, MD 1117 E Devonshire Ave, Hemet, CA 92543-3083 Ph: (951) 925-6317 |
Steven Westbrook, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-925-6317 Fax: 951-765-4829 | |
Mildred Ramos, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-925-6317 Fax: 951-765-4829 | |
Dr. Mustafa Mahdavy, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1117 E. Devonshire Ave. Department Of Pathology, Hemet, CA 92543 Phone: 985-789-7994 Fax: 951-765-4829 |