| Clear Medical Inc. | |
|
4560 Admiralty Way Ste 200 Marina Del Rey CA 90292-5425 | |
| (310) 306-7100 | |
| (301) 306-7107 |
| Full Name | Clear Medical Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4560 Admiralty Way Ste 200, Marina Del Rey, California |
| Authorized Official Name and Position | Shawn Abrishamy (OWNER) |
| Authorized Official Contact | 3103067100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Medical Inc. 4560 Admiralty Way Ste 200 Marina Del Rey CA 90292-5425 Ph: (310) 306-7100 | Clear Medical Inc. 4560 Admiralty Way Ste 200 Marina Del Rey CA 90292-5425 Ph: (310) 306-7100 |
| NPI Number | 1942442066 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 04/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942442066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85245 (California) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | A85224 (California) | Secondary |
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Carlo Medina Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 201, Marina Del Rey, CA 90292 Phone: 310-823-3443 Fax: 310-305-7470 | |
Etie Moghissi, Md,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA 90292 Phone: 310-578-6747 Fax: 310-578-6750 | |
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