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750 W Olive Ave Ste 105 Merced CA 95348 | |
(209) 723-2132 | |
(209) 723-3017 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 750 W Olive Ave, Merced, California |
Authorized Official Name and Position | Diana J Hylton (PRESIDENT) |
Authorized Official Contact | 2097232132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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750 W Olive Ave Ste 105 Merced CA 95348-2436 Ph: (209) 723-2132 | 750 W Olive Ave Ste 105 Merced CA 95348 Ph: (209) 723-2132 |
NPI Number | 1548333743 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 06/05/2008 |
Medicare PECOS PAC ID | 7618048943 |
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Medicare Enrollment ID | O20080613000549 |
Identifier | Type | State | Issuer |
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1548333743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Diana J Hylton |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033389903 PECOS PAC ID: 6800889098 Enrollment ID: I20040405000839 |
Life Center Of America Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 N St, Merced, CA 95341 Phone: 209-384-9547 | |
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The Bridge, J. Stanley Bunce, Ph.d., & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Park Avenue, Merced, CA 95348 Phone: 209-384-0414 Fax: 209-384-1562 | |