| Dose Management Ca Corporation | |
|
3620 Birch St Ste 210 Newport Beach CA 92660-2625 | |
| (512) 566-4234 | |
| (833) 516-4234 |
| Full Name | Dose Management Ca Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3620 Birch St Ste 210, Newport Beach, California |
| Authorized Official Name and Position | Kellie Sexton (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5125664233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dose Management Ca Corporation 1401 Lavaca St Austin TX 78701-1634 Ph: (512) 566-4233 | Dose Management Ca Corporation 3620 Birch St Ste 210 Newport Beach CA 92660-2625 Ph: (512) 566-4234 |
| NPI Number | 1598400665 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 8325411366 |
|---|---|
| Medicare Enrollment ID | O20230222002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598400665 | NPI | - | NPPES |
| Provider Name | Dustyn Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699064766 PECOS PAC ID: 7810113404 Enrollment ID: I20230830001628 |
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