| Clinica Familiar De Arlington Pc | |
|
1635 N George Mason Dr Suite 455 Arlington VA 22205-3601 | |
| (703) 465-0137 | |
| (703) 465-0429 |
| Full Name | Clinica Familiar De Arlington Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1635 N George Mason Dr, Arlington, Virginia |
| Authorized Official Name and Position | John Hossein Molaiy (OWNER/PRESIDENT) |
| Authorized Official Contact | 7034650137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Familiar De Arlington Pc 1635 N George Mason Dr Suite 455 Arlington VA 22205-3601 Ph: (703) 465-0137 | Clinica Familiar De Arlington Pc 1635 N George Mason Dr Suite 455 Arlington VA 22205-3601 Ph: (703) 465-0137 |
| NPI Number | 1104008820 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 04/03/2012 |
| Medicare PECOS PAC ID | 9638119225 |
|---|---|
| Medicare Enrollment ID | O20050503000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104008820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101232384 (Virginia) | Primary |
| Provider Name | John H Molaiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710957899 PECOS PAC ID: 8628018223 Enrollment ID: I20120412000639 |
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