| Alex Mohseni Dayamed Pc | |
|
1610 R St Ste 300-3006 Sacramento CA 95811-6676 | |
| (800) 931-5883 | |
| Not Available |
| Full Name | Alex Mohseni Dayamed Pc |
|---|---|
| Speciality | General Practice |
| Location | 1610 R St Ste 300-3006, Sacramento, California |
| Authorized Official Name and Position | Alex S Mohseni (PHYSICIAN OWNER) |
| Authorized Official Contact | 3017064461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Mohseni Dayamed Pc 1000 N West St Wilmington DE 19801-1050 Ph: () - | Alex Mohseni Dayamed Pc 1610 R St Ste 300-3006 Sacramento CA 95811-6676 Ph: (800) 931-5883 |
| NPI Number | 1568170546 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 6204205917 |
|---|---|
| Medicare Enrollment ID | O20221219002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568170546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Lauren Poppen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306275607 PECOS PAC ID: 1759512916 Enrollment ID: I20220523001222 |
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