| Barco Medical Clinic, Inc. | |
|
8929 Wilshire Blvd Suite 225 Beverly Hills CA 90211-1938 | |
| (310) 276-6933 | |
| (310) 271-0980 |
| Full Name | Barco Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8929 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | David Barcohana (CEO) |
| Authorized Official Contact | 3102766933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barco Medical Clinic, Inc. Po Box 355 Beverly Hills CA 90213-0355 Ph: (310) 276-6933 | Barco Medical Clinic, Inc. 8929 Wilshire Blvd Suite 225 Beverly Hills CA 90211-1938 Ph: (310) 276-6933 |
| NPI Number | 1093911943 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 5799714226 |
|---|---|
| Medicare Enrollment ID | O20050804001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093911943 | NPI | - | NPPES |
| GR0046420 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A38962 (California) | Primary |
| Provider Name | David Barcohana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750398509 PECOS PAC ID: 3274677380 Enrollment ID: I20100212000273 |
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