| David A. Lewis, M.d., Inc. | |
|
2204 Grant Rd Suite 105 Mountain View CA 94040-3855 | |
| (650) 967-8890 | |
| (650) 967-8891 |
| Full Name | David A. Lewis, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2204 Grant Rd, Mountain View, California |
| Authorized Official Name and Position | David Arthur Lewis (PRESIDENT) |
| Authorized Official Contact | 6509678890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Lewis, M.d., Inc. 2204 Grant Rd Suite 105 Mountain View CA 94040-3855 Ph: (650) 967-8890 | David A. Lewis, M.d., Inc. 2204 Grant Rd Suite 105 Mountain View CA 94040-3855 Ph: (650) 967-8890 |
| NPI Number | 1811183346 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 03/14/2015 |
| Medicare PECOS PAC ID | 0840372645 |
|---|---|
| Medicare Enrollment ID | O20080201000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811183346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G29804 (California) | Primary |
| Provider Name | David A Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316017858 PECOS PAC ID: 6204918006 Enrollment ID: I20080201000310 |
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