| Douglas F. Carrasco M.d. Inc. | |
|
44274 George Cushman Ct Suite 210 Temecula CA 92592-5945 | |
| (951) 302-4603 | |
| (951) 302-4605 |
| Full Name | Douglas F. Carrasco M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 44274 George Cushman Ct, Temecula, California |
| Authorized Official Name and Position | Douglas F. Carrasco (PRESIDENT) |
| Authorized Official Contact | 9515666766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas F. Carrasco M.d. Inc. 44274 George Cushman Ct Suite 210 Temecula CA 92592-5945 Ph: (951) 302-4603 | Douglas F. Carrasco M.d. Inc. 44274 George Cushman Ct Suite 210 Temecula CA 92592-5945 Ph: (951) 302-4603 |
| NPI Number | 1295927408 |
|---|---|
| Provider Enumeration Date | 08/11/2007 |
| Last Update Date | 08/11/2007 |
| Medicare PECOS PAC ID | 5092896027 |
|---|---|
| Medicare Enrollment ID | O20080116000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295927408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G82091 (California) | Primary |
| Provider Name | Douglas F Carrasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861406340 PECOS PAC ID: 8820179856 Enrollment ID: I20080116000424 |
| Provider Name | Manu Surendran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061020 PECOS PAC ID: 3577903046 Enrollment ID: I20240501000836 |
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