Elite Corporate Medical Services Inc. | |
319 N Church St Visalia CA 93291-5008 | |
(559) 733-7772 | |
Not Available |
Full Name | Elite Corporate Medical Services Inc. |
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Speciality | Family Medicine |
Location | 319 N Church St, Visalia, California |
Authorized Official Name and Position | Nicholas A Gambini (SECRETARY) |
Authorized Official Contact | 5597337772 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elite Corporate Medical Services Inc. 319 N Church St Visalia CA 93291-5008 Ph: (559) 733-7772 | Elite Corporate Medical Services Inc. 319 N Church St Visalia CA 93291-5008 Ph: (559) 733-7772 |
NPI Number | 1598276032 |
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Provider Enumeration Date | 10/23/2017 |
Last Update Date | 05/05/2021 |
Medicare PECOS PAC ID | 9436568342 |
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Medicare Enrollment ID | O20210505002456 |
Identifier | Type | State | Issuer |
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1598276032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | G37339 (California) | Primary |
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