| Edmund Ayoub, Jr., M.d., Inc | |
|
3655 E Ramon Rd Palm Springs CA 92264-1150 | |
| (760) 835-4229 | |
| Not Available |
| Full Name | Edmund Ayoub, Jr., M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3655 E Ramon Rd, Palm Springs, California |
| Authorized Official Name and Position | Edmund Ayoub (PRESIDENT) |
| Authorized Official Contact | 7608354229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund Ayoub, Jr., M.d., Inc P O Box 3282 Palm Springs CA 92263-3282 Ph: (760) 327-9400 | Edmund Ayoub, Jr., M.d., Inc 3655 E Ramon Rd Palm Springs CA 92264-1150 Ph: (760) 835-4229 |
| NPI Number | 1104089853 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 8325107329 |
|---|---|
| Medicare Enrollment ID | O20081105000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104089853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A104389 (California) | Primary |
| Provider Name | Edmund Ayoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114180866 PECOS PAC ID: 5799844791 Enrollment ID: I20081105000738 |
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