Association Of Professional Medical Centers Inc | |
5344 W Prospect Ct Visalia CA 93291-9274 | |
(559) 625-1691 | |
(559) 625-1064 |
Full Name | Association Of Professional Medical Centers Inc |
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Speciality | Psychiatry & Neurology |
Location | 5344 W Prospect Ct, Visalia, California |
Authorized Official Name and Position | Richard Leo Pantera (PRESIDENT) |
Authorized Official Contact | 5596251691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Association Of Professional Medical Centers Inc 5344 W Prospect Ct Visalia CA 93291-9274 Ph: (559) 625-1691 | Association Of Professional Medical Centers Inc 5344 W Prospect Ct Visalia CA 93291-9274 Ph: (559) 625-1691 |
NPI Number | 1831499573 |
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Provider Enumeration Date | 10/28/2010 |
Last Update Date | 12/12/2023 |
Certification Date | 12/12/2023 |
Medicare PECOS PAC ID | 9638343478 |
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Medicare Enrollment ID | O20111114000391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831499573 | NPI | - | NPPES |
00G364660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | G36466 (California) | Primary |
Provider Name | Richard Leo Pantera |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457461725 PECOS PAC ID: 6709050545 Enrollment ID: I20111114000424 |
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