El Fatmi Medical Corporation | |
3299 Rikkard Dr Thousand Oaks CA 91362-4625 | |
(201) 658-8265 | |
(888) 419-2656 |
Full Name | El Fatmi Medical Corporation |
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Speciality | Internal Medicine |
Location | 3299 Rikkard Dr, Thousand Oaks, California |
Authorized Official Name and Position | Mounir El Fatmi (DIRECTOR) |
Authorized Official Contact | 2016588265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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El Fatmi Medical Corporation 3299 Rikkard Dr Thousand Oaks CA 91362-4625 Ph: (201) 658-8265 | El Fatmi Medical Corporation 3299 Rikkard Dr Thousand Oaks CA 91362-4625 Ph: (201) 658-8265 |
NPI Number | 1154726339 |
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Provider Enumeration Date | 10/30/2014 |
Last Update Date | 10/30/2014 |
Medicare PECOS PAC ID | 5092030940 |
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Medicare Enrollment ID | O20150217001148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154726339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A99792 (California) | Primary |
Provider Name | Mounir El Fatmi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356406789 PECOS PAC ID: 1759310733 Enrollment ID: I20110309000626 |
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