| Dr. Mayer's Women's And Children | |
|
4972 W Pico Blvd Ste 201 Los Angeles CA 90019-4200 | |
| (323) 525-2500 | |
| (323) 525-2506 |
| Full Name | Dr. Mayer's Women's And Children |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4972 W Pico Blvd Ste 201, Los Angeles, California |
| Authorized Official Name and Position | Ralph Mayer (OWNER) |
| Authorized Official Contact | 3235252500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mayer's Women's And Children 2568 Clarendon Ave Huntington Park CA 90255-4073 Ph: (323) 582-5444 | Dr. Mayer's Women's And Children 4972 W Pico Blvd Ste 201 Los Angeles CA 90019-4200 Ph: (323) 525-2500 |
| NPI Number | 1992845663 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 07/26/2018 |
| Medicare PECOS PAC ID | 3375776727 |
|---|---|
| Medicare Enrollment ID | O20140509000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992845663 | NPI | - | NPPES |
| G69356 | Other | CA | CHDP |
| GR0095860 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G69356 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | G69356 (California) | Primary |
| 208000000X | Pediatrics | G69356 (California) | Secondary |
| Provider Name | Ralph Mayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952311409 PECOS PAC ID: 5193638096 Enrollment ID: I20031106000789 |
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