| G. L. Mee Memorial Hospital Specialty Clinic | |
|
400 Canal St Ste B King City CA 93930-3461 | |
| (831) 386-7401 | |
| (831) 386-7402 |
| Full Name | G. L. Mee Memorial Hospital Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Canal St, King City, California |
| Authorized Official Name and Position | Susan Childers (CFO) |
| Authorized Official Contact | 8313857160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G. L. Mee Memorial Hospital Specialty Clinic 400 Canal St Ste B King City CA 93930-3461 Ph: (831) 386-7401 | G. L. Mee Memorial Hospital Specialty Clinic 400 Canal St Ste B King City CA 93930-3461 Ph: (831) 386-7401 |
| NPI Number | 1386955433 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 7719883461 |
|---|---|
| Medicare Enrollment ID | O20110329000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955433 | NPI | - | NPPES |
| ZZZ54850Y | Other | CA | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 070000047 (California) | Primary |
| Provider Name | Thomas W Unruh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134295124 PECOS PAC ID: 4880586106 Enrollment ID: I20040329001792 |
| Provider Name | Gilbert E Flores |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760516314 PECOS PAC ID: 5890737746 Enrollment ID: I20070524000274 |
| Provider Name | Fateh Entabi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881859981 PECOS PAC ID: 2769621358 Enrollment ID: I20130611000506 |
| Provider Name | Andrew S Mccague |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992903207 PECOS PAC ID: 1153643366 Enrollment ID: I20141125000741 |
George L. Mee Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Canal St, King City, CA 93930 Phone: 831-385-6000 | |
George L. Mee Memorial Hospital King City Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Canal St, King City, CA 93930 Phone: 831-385-5471 Fax: 831-385-5940 | |
Surf Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Canal St, King City, CA 93930 Phone: 909-289-1060 | |
M Shehata Iatrocare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Canal St, King City, CA 93930 Phone: 702-453-3799 Fax: 702-453-5741 | |
George L. Mee Memorial King City Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Canal St, King City, CA 93930 Phone: 831-385-5471 Fax: 831-385-5940 | |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Canal St, Ste A, King City, CA 93930 Phone: 831-385-1280 Fax: 831-385-1285 | |
Broadway Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Broadway St, Ste. D, King City, CA 93930 Phone: 831-386-7437 Fax: 831-385-7188 |