| Los Altos Psychiatric Medical Group, Inc. | |
|
288 Quinnhill Rd Los Altos CA 94024-4736 | |
| (650) 949-4433 | |
| (650) 949-3446 |
| Full Name | Los Altos Psychiatric Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 288 Quinnhill Rd, Los Altos, California |
| Authorized Official Name and Position | Frank Lloyd Annis (PRESIDENT) |
| Authorized Official Contact | 6509494433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Altos Psychiatric Medical Group, Inc. 288 Quinnhill Rd Los Altos CA 94024-4736 Ph: (650) 949-4433 | Los Altos Psychiatric Medical Group, Inc. 288 Quinnhill Rd Los Altos CA 94024-4736 Ph: (650) 949-4433 |
| NPI Number | 1396019022 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 06/14/2017 |
| Medicare PECOS PAC ID | 1456510593 |
|---|---|
| Medicare Enrollment ID | O20120309000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396019022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C32617 (California) | Primary |
| Provider Name | Frank L Annis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265536494 PECOS PAC ID: 6901065044 Enrollment ID: I20120411000430 |
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