| Channel Isl Urgent Care Med Grp Inc | |
|
2103 Pickwick Dr Camarillo CA 93010-6427 | |
| (805) 484-7448 | |
| (805) 484-3642 |
| Full Name | Channel Isl Urgent Care Med Grp Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2103 Pickwick Dr, Camarillo, California |
| Authorized Official Name and Position | Paul E Morin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8054847448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Channel Isl Urgent Care Med Grp Inc 2103 Pickwick Dr Camarillo CA 93010-6427 Ph: (805) 484-7448 | Channel Isl Urgent Care Med Grp Inc 2103 Pickwick Dr Camarillo CA 93010-6427 Ph: (805) 484-7448 |
| NPI Number | 1215121413 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 6002941655 |
|---|---|
| Medicare Enrollment ID | O20100322000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A56405 (California) | Primary |
| Provider Name | Paul E Morin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932148525 PECOS PAC ID: 0941335582 Enrollment ID: I20100322000059 |
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