| Elite Medical Services | |
|
1860 Mowry Ave Suite 402 Fremont CA 94538-1730 | |
| (510) 556-1000 | |
| (888) 876-1676 |
| Full Name | Elite Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1860 Mowry Ave, Fremont, California |
| Authorized Official Name and Position | Nosrat Khajavi (OWNER) |
| Authorized Official Contact | 5105561000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Services 39120 Argonaut Way Suite 706 Fremont CA 94538-1304 Ph: (510) 556-1000 | Elite Medical Services 1860 Mowry Ave Suite 402 Fremont CA 94538-1730 Ph: (510) 556-1000 |
| NPI Number | 1265829006 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265829006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6223 (California) | Primary |
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