| Bohemian Concierge Care | |
|
555 Petaluma Ave Ste B Sebastopol CA 95472-4225 | |
| (707) 239-9257 | |
| Not Available |
| Full Name | Bohemian Concierge Care |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Petaluma Ave Ste B, Sebastopol, California |
| Authorized Official Name and Position | Elizabeth Flower (PHYSICIAN / OWNER) |
| Authorized Official Contact | 7072399257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohemian Concierge Care 555 Petaluma Ave Ste B Sebastopol CA 95472-4225 Ph: (707) 239-9257 | Bohemian Concierge Care 555 Petaluma Ave Ste B Sebastopol CA 95472-4225 Ph: (707) 239-9257 |
| NPI Number | 1194309302 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 9638571466 |
|---|---|
| Medicare Enrollment ID | O20210715001829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194309302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Flower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538173141 PECOS PAC ID: 8729978010 Enrollment ID: I20040318001773 |
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