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5025 8th St Carpinteria CA 93013-2018 | |
(805) 566-1358 | |
(805) 566-2148 |
Full Name | |
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Speciality | Clinic/Center |
Location | 5025 8th St, Carpinteria, California |
Authorized Official Name and Position | John P Zemjanis (PRESIDENT) |
Authorized Official Contact | 8055661358 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1730 Santa Monica Rd Carpinteria CA 93013-3028 Ph: (805) 566-1358 | 5025 8th St Carpinteria CA 93013-2018 Ph: (805) 566-1358 |
NPI Number | 1487795423 |
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Provider Enumeration Date | 02/11/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7416132345 |
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Medicare Enrollment ID | O20110419000755 |
Identifier | Type | State | Issuer |
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1487795423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | John P Zemjanis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093898272 PECOS PAC ID: 9537140827 Enrollment ID: I20040524001445 |