Eva Marie Gentile, Md Inc | |
1300 Avenida Vista Hermosa 100 San Clemente CA 92673-6315 | |
(949) 218-3001 | |
(949) 218-8051 |
Full Name | Eva Marie Gentile, Md Inc |
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Speciality | General Practice |
Location | 1300 Avenida Vista Hermosa, San Clemente, California |
Authorized Official Name and Position | Eva Marie Gentile (CEO) |
Authorized Official Contact | 9492183001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eva Marie Gentile, Md Inc 1300 Avenida Vista Hermosa 100 San Clemente CA 92673-6315 Ph: (949) 218-3001 | Eva Marie Gentile, Md Inc 1300 Avenida Vista Hermosa 100 San Clemente CA 92673-6315 Ph: (949) 218-3001 |
NPI Number | 1386903110 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 05/18/2012 |
Medicare PECOS PAC ID | 8426211491 |
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Medicare Enrollment ID | O20120601000042 |
Identifier | Type | State | Issuer |
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1386903110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A42926 (California) | Primary |
Provider Name | Eva M Gentile |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811030117 PECOS PAC ID: 1355255423 Enrollment ID: I20031113000796 |
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Joomo Yang, Md., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Camino Corso Rio, San Clemente, CA 92673 Phone: 949-226-8416 Fax: 949-226-8019 | |