| Dunecrest Medical Group | |
|
232 Reservation Rd Marina CA 93933-3083 | |
| (831) 384-0662 | |
| (831) 384-0754 |
| Full Name | Dunecrest Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 232 Reservation Rd, Marina, California |
| Authorized Official Name and Position | Deborah Brown (PRESIDENT/ OWNER) |
| Authorized Official Contact | 8313840662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunecrest Medical Group 232 Reservation Rd Marina CA 93933-3083 Ph: (831) 384-0662 | Dunecrest Medical Group 232 Reservation Rd Marina CA 93933-3083 Ph: (831) 384-0662 |
| NPI Number | 1710131370 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 06/17/2019 |
| Medicare PECOS PAC ID | 5395807432 |
|---|---|
| Medicare Enrollment ID | O20081223000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710131370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A60458 (California) | Primary |
| Provider Name | Deborah A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376546044 PECOS PAC ID: 2668577198 Enrollment ID: I20070411000572 |
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