| Mark A Welch Do, Inc | |
|
10737 Laurel St Suite 230 Rancho Cucamonga CA 91730-3837 | |
| (909) 989-5556 | |
| (909) 989-5558 |
| Full Name | Mark A Welch Do, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10737 Laurel St, Rancho Cucamonga, California |
| Authorized Official Name and Position | Mark Arnold Welch (DOCTOR) |
| Authorized Official Contact | 9519665802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Welch Do, Inc 10737 Laurel St Suite 230 Rancho Cucamonga CA 91730-3837 Ph: (909) 989-5556 | Mark A Welch Do, Inc 10737 Laurel St Suite 230 Rancho Cucamonga CA 91730-3837 Ph: (909) 989-5556 |
| NPI Number | 1770031312 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Medicare PECOS PAC ID | 4587935119 |
|---|---|
| Medicare Enrollment ID | O20170801000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770031312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2OA8950 (California) | Primary |
| Provider Name | Mark A Welch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225063555 PECOS PAC ID: 4385648500 Enrollment ID: I20060830000583 |
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