| Cassandra Ohlsen, M.d., Inc. | |
|
154 14th St Pacific Grove CA 93950-2725 | |
| (831) 647-1410 | |
| (831) 647-1410 |
| Full Name | Cassandra Ohlsen, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 154 14th St, Pacific Grove, California |
| Authorized Official Name and Position | Cassandra Ohlsen (PRESIDENT/SOLE DIRECTOR) |
| Authorized Official Contact | 8316471410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Ohlsen, M.d., Inc. Po Box 51520 Pacific Grove CA 93950-6520 Ph: (831) 647-1410 | Cassandra Ohlsen, M.d., Inc. 154 14th St Pacific Grove CA 93950-2725 Ph: (831) 647-1410 |
| NPI Number | 1164805263 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 5395045637 |
|---|---|
| Medicare Enrollment ID | O20151118001834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164805263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G56448 (California) | Primary |
| Provider Name | Cassandra Ohlsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356457170 PECOS PAC ID: 1254223936 Enrollment ID: I20040326001227 |
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