| Dennis Patrick Lewis,md, | |
|
23823 Valencia Blvd Suite #160 Valencia CA 91355-9512 | |
| (661) 254-0026 | |
| (661) 254-1773 |
| Full Name | Dennis Patrick Lewis,md, |
|---|---|
| Speciality | Family Medicine |
| Location | 23823 Valencia Blvd, Valencia, California |
| Authorized Official Name and Position | Dennis Patrick Lewis (MD) |
| Authorized Official Contact | 6612540026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Patrick Lewis,md, 23823 Valencia Blvd Suite #160 Valencia CA 91355-9512 Ph: (661) 254-0026 | Dennis Patrick Lewis,md, 23823 Valencia Blvd Suite #160 Valencia CA 91355-9512 Ph: (661) 254-0026 |
| NPI Number | 1710183140 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 11/13/2018 |
| Medicare PECOS PAC ID | 3173415189 |
|---|---|
| Medicare Enrollment ID | O20040325001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710183140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G78417 (California) | Primary |
| Provider Name | Dennis P Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780608190 PECOS PAC ID: 5496647414 Enrollment ID: I20040326001059 |
| Provider Name | Mary K Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962700104 PECOS PAC ID: 6204010606 Enrollment ID: I20110408000590 |
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