Colony Care Partners | |
23656 Pacific Coast Hwy Malibu CA 90265-4826 | |
(310) 456-7551 | |
Not Available |
Full Name | Colony Care Partners |
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Speciality | Clinic/Center |
Location | 23656 Pacific Coast Hwy, Malibu, California |
Authorized Official Name and Position | Dan Katz (PARTNER) |
Authorized Official Contact | 3104567551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Colony Care Partners 23656 Pacific Coast Hwy Malibu CA 90265-4826 Ph: (310) 456-7551 | Colony Care Partners 23656 Pacific Coast Hwy Malibu CA 90265-4826 Ph: (310) 456-7551 |
NPI Number | 1700953122 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 01/08/2021 |
Medicare PECOS PAC ID | 1658300181 |
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Medicare Enrollment ID | O20050804001238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700953122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Dan Katz |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1922094101 PECOS PAC ID: 1355385535 Enrollment ID: I20050617000900 |
Provider Name | Jill Furgurson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174698351 PECOS PAC ID: 1759591035 Enrollment ID: I20120615000297 |
Provider Name | Lauren Pike |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669882460 PECOS PAC ID: 6800120031 Enrollment ID: I20190621002538 |
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