| Hanford Primary Care Medical Associates, Inc. | |
|
5109 W Goshen Ave Visalia CA 93291-8620 | |
| (559) 740-7989 | |
| (559) 740-7952 |
| Full Name | Hanford Primary Care Medical Associates, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5109 W Goshen Ave, Visalia, California |
| Authorized Official Name and Position | Daria Majzoubi (CEO) |
| Authorized Official Contact | 5597407989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanford Primary Care Medical Associates, Inc. 5109 W Goshen Ave Visalia CA 93291-8620 Ph: (559) 740-7989 | Hanford Primary Care Medical Associates, Inc. 5109 W Goshen Ave Visalia CA 93291-8620 Ph: (559) 740-7989 |
| NPI Number | 1770809055 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 10/10/2014 |
| Medicare PECOS PAC ID | 1355533068 |
|---|---|
| Medicare Enrollment ID | O20101012001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770809055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85143 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (California) | Secondary |
| Provider Name | Daria Majzoubi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811941628 PECOS PAC ID: 0547151045 Enrollment ID: I20040325001126 |
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