Angela R Ritz Md Pc Inc | |
360 Dardanelli Ln Ste 2e Los Gatos CA 95032-1421 | |
(408) 378-1101 | |
(408) 378-1039 |
Full Name | Angela R Ritz Md Pc Inc |
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Speciality | Family Medicine |
Location | 360 Dardanelli Ln, Los Gatos, California |
Authorized Official Name and Position | Angela R Ritz (OWNER) |
Authorized Official Contact | 4083781101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Angela R Ritz Md Pc Inc 360 Dardanelli Ln Ste 2e Los Gatos CA 95032-1421 Ph: (408) 378-1101 | Angela R Ritz Md Pc Inc 360 Dardanelli Ln Ste 2e Los Gatos CA 95032-1421 Ph: (408) 378-1101 |
NPI Number | 1144566522 |
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Provider Enumeration Date | 12/12/2012 |
Last Update Date | 12/12/2012 |
Medicare PECOS PAC ID | 7113171604 |
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Medicare Enrollment ID | O20130211000057 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144566522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A82577 (California) | Primary |
Provider Name | Angela R Ritz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992853931 PECOS PAC ID: 0042244105 Enrollment ID: I20050919001079 |
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