| |
415 E Avenida Pico San Clemente CA 92672-3800 | |
(949) 245-6581 | |
(949) 688-2136 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 415 E Avenida Pico, San Clemente, California |
Authorized Official Name and Position | Robert Pace (OWNER) |
Authorized Official Contact | 2138041712 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2600 Dallas Pkwy Ste 290 Frisco TX 75034-7493 Ph: (945) 050-0010 | 415 E Avenida Pico San Clemente CA 92672-3800 Ph: (949) 245-6581 |
NPI Number | 1023614419 |
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Provider Enumeration Date | 12/10/2020 |
Last Update Date | 02/12/2024 |
Identifier | Type | State | Issuer |
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1023614419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Care Gastroenterology Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Camino De Los Mares, Sute 123, San Clemente, CA 92673 Phone: 949-443-1546 Fax: 949-443-1077 | |
San Clemente Internal Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares Ste 309, San Clemente, CA 92673 Phone: 949-487-9034 Fax: 949-493-3721 | |
Joomo Yang, Md., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Camino Corso Rio, San Clemente, CA 92673 Phone: 949-226-8416 Fax: 949-226-8019 | |