Funandmoving.com | |
4221 Manzanita Ave Carmichael CA 95608-1406 | |
(916) 342-1044 | |
(916) 482-2009 |
Full Name | Funandmoving.com |
---|---|
Speciality | Internal Medicine |
Location | 4221 Manzanita Ave, Carmichael, California |
Authorized Official Name and Position | Christopher P Meyer (OWNER) |
Authorized Official Contact | 9163421044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Funandmoving.com 4221 Manzanita Ave Carmichael CA 95608-1406 Ph: (916) 342-1044 | Funandmoving.com 4221 Manzanita Ave Carmichael CA 95608-1406 Ph: (916) 342-1044 |
NPI Number | 1609481837 |
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Provider Enumeration Date | 09/14/2020 |
Last Update Date | 05/17/2022 |
Medicare PECOS PAC ID | 3971923632 |
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Medicare Enrollment ID | O20220706002713 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609481837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
Provider Name | Douglas Glenn Young |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346340296 PECOS PAC ID: 8325938673 Enrollment ID: I20040318001495 |
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