| David Shek M.d.,inc. | |
|
1401 S Anaheim Blvd Anaheim CA 92805-6214 | |
| (714) 772-9800 | |
| (714) 772-6800 |
| Full Name | David Shek M.d.,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 S Anaheim Blvd, Anaheim, California |
| Authorized Official Name and Position | David Shek (PRESIDENT) |
| Authorized Official Contact | 7147729800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Shek M.d.,inc. 1401 S Anaheim Blvd Anaheim CA 92805-6214 Ph: (714) 772-9800 | David Shek M.d.,inc. 1401 S Anaheim Blvd Anaheim CA 92805-6214 Ph: (714) 772-9800 |
| NPI Number | 1245319631 |
|---|---|
| Provider Enumeration Date | 11/04/2006 |
| Last Update Date | 06/07/2013 |
| Medicare PECOS PAC ID | 0345324356 |
|---|---|
| Medicare Enrollment ID | O20080229000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245319631 | NPI | - | NPPES |
| 1346289915 | Other | CA | NPI FOR DAVID SHEK M.D. |
| 1245319631 | Other | CA | NPI FOR DAVID SHEK MD INC |
| 00A309450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A30945 (California) | Primary |
| Provider Name | David Y Shek |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346289915 PECOS PAC ID: 0345324349 Enrollment ID: I20080229000276 |
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