| Family Medical Center, Inc. | |
|
34052 La Plz Suite 102 Dana Point CA 92629-2587 | |
| (949) 240-8555 | |
| Not Available |
| Full Name | Family Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 34052 La Plz, Dana Point, California |
| Authorized Official Name and Position | Danuta U Delnitz (PRESIDENT) |
| Authorized Official Contact | 9492408555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center, Inc. 34052 La Plz Suite 102 Dana Point CA 92629-2587 Ph: (949) 240-8555 | Family Medical Center, Inc. 34052 La Plz Suite 102 Dana Point CA 92629-2587 Ph: (949) 240-8555 |
| NPI Number | 1205024718 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 5294701934 |
|---|---|
| Medicare Enrollment ID | O20040903000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205024718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A67444 (California) | Primary |
| Provider Name | Danuta U Delnitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003916834 PECOS PAC ID: 9638145378 Enrollment ID: I20040908000772 |
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