| Cal Oaks Primary Care/lucali Aesthetic Medicine | |
|
40700 California Oaks Rd Ste 207 Murrieta CA 92562-5789 | |
| (951) 387-9817 | |
| Not Available |
| Full Name | Cal Oaks Primary Care/lucali Aesthetic Medicine |
|---|---|
| Speciality | General Practice |
| Location | 40700 California Oaks Rd Ste 207, Murrieta, California |
| Authorized Official Name and Position | Dzenan Lulic (PRESIDENT) |
| Authorized Official Contact | 9513879817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cal Oaks Primary Care/lucali Aesthetic Medicine 40700 California Oaks Rd Ste 206 Murrieta CA 92562-5789 Ph: () - | Cal Oaks Primary Care/lucali Aesthetic Medicine 40700 California Oaks Rd Ste 207 Murrieta CA 92562-5789 Ph: (951) 387-9817 |
| NPI Number | 1821561572 |
|---|---|
| Provider Enumeration Date | 01/05/2019 |
| Last Update Date | 11/13/2022 |
| Medicare PECOS PAC ID | 9537409339 |
|---|---|
| Medicare Enrollment ID | O20190313002695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821561572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Dzenan Lulic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356503791 PECOS PAC ID: 7517193816 Enrollment ID: I20131114001591 |
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