| Dr.mikel Walk In Clinic Inc | |
|
15791 Bear Valley Rd Hesperia CA 92345-1746 | |
| (760) 949-1231 | |
| (760) 949-1236 |
| Full Name | Dr.mikel Walk In Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15791 Bear Valley Rd, Hesperia, California |
| Authorized Official Name and Position | Mikel Alwis (PRESIDENT) |
| Authorized Official Contact | 7609538059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.mikel Walk In Clinic Inc 15791 Bear Valley Rd Hesperia CA 92345-1746 Ph: (760) 949-1231 | Dr.mikel Walk In Clinic Inc 15791 Bear Valley Rd Hesperia CA 92345-1746 Ph: (760) 949-1231 |
| NPI Number | 1346250396 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 11/30/2010 |
| Medicare PECOS PAC ID | 1557314572 |
|---|---|
| Medicare Enrollment ID | O20050301000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346250396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A48518 (California) | Primary |
| Provider Name | Mikel A Alwis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790705671 PECOS PAC ID: 8527019660 Enrollment ID: I20050204000810 |
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