| Adema Family Medicine, Inc | |
|
10201 Mission Gorge Rd Ste C Santee CA 92071-3026 | |
| (619) 596-5445 | |
| (619) 596-6923 |
| Full Name | Adema Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10201 Mission Gorge Rd Ste C, Santee, California |
| Authorized Official Name and Position | Donald S Adema (CEO) |
| Authorized Official Contact | 6195965445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adema Family Medicine, Inc 10201 Mission Gorge Rd Ste C Santee CA 92071-3026 Ph: (619) 596-5445 | Adema Family Medicine, Inc 10201 Mission Gorge Rd Ste C Santee CA 92071-3026 Ph: (619) 596-5445 |
| NPI Number | 1043497316 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 01/29/2008 |
| Medicare PECOS PAC ID | 8426133380 |
|---|---|
| Medicare Enrollment ID | O20080317000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043497316 | NPI | - | NPPES |
| 2OA6239 | Other | CA | STATE LICENSE CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6239 (California) | Primary |
| Provider Name | Donald S Adema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487763512 PECOS PAC ID: 4789769647 Enrollment ID: I20080317000605 |
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