Clifford Segil Do A Medical Corporation | |
2001 Santa Monica Blvd Suite 1170 Santa Monica CA 90404-2102 | |
(310) 828-8838 | |
(310) 828-2099 |
Full Name | Clifford Segil Do A Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 2001 Santa Monica Blvd, Santa Monica, California |
Authorized Official Name and Position | Clifford Segil (PRESIDENT/OWNER) |
Authorized Official Contact | 3108293611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clifford Segil Do A Medical Corporation 2001 Santa Monica Blvd Suite 1170 Santa Monica CA 90404-2102 Ph: (310) 828-8838 | Clifford Segil Do A Medical Corporation 2001 Santa Monica Blvd Suite 1170 Santa Monica CA 90404-2102 Ph: (310) 828-8838 |
NPI Number | 1316224025 |
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Provider Enumeration Date | 11/08/2011 |
Last Update Date | 03/07/2012 |
Medicare PECOS PAC ID | 0345414470 |
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Medicare Enrollment ID | O20111129000400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316224025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Clifford Segil |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457556581 PECOS PAC ID: 6800933722 Enrollment ID: I20091027000200 |
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