East Meets West Internal & Preventative Medical Center, Apc | |
1240 Broadway 201 El Cajon CA 92021-4994 | |
(619) 588-9355 | |
(619) 588-9335 |
Full Name | East Meets West Internal & Preventative Medical Center, Apc |
---|---|
Speciality | Internal Medicine |
Location | 1240 Broadway, El Cajon, California |
Authorized Official Name and Position | Paul Edward Verhoeve (OWNER) |
Authorized Official Contact | 6195889355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Meets West Internal & Preventative Medical Center, Apc Po Box 21886 El Cajon CA 92021-0968 Ph: (619) 588-9355 | East Meets West Internal & Preventative Medical Center, Apc 1240 Broadway 201 El Cajon CA 92021-4994 Ph: (619) 588-9355 |
NPI Number | 1750553772 |
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Provider Enumeration Date | 03/31/2008 |
Last Update Date | 04/15/2014 |
Medicare PECOS PAC ID | 0042371734 |
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Medicare Enrollment ID | O20081213000153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750553772 | NPI | - | NPPES |
BE666Z | Other | CA | MEDICARE INDIVIDUAL PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A45358 (California) | Primary |
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