| Hometown Healthcare | |
|
605 Cowper St Palo Alto CA 94301-1808 | |
| (650) 289-0110 | |
| Not Available |
| Full Name | Hometown Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 605 Cowper St, Palo Alto, California |
| Authorized Official Name and Position | Richard D Lee (DIRECTOR) |
| Authorized Official Contact | 6502890110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Healthcare 605 Cowper St Palo Alto CA 94301-1808 Ph: (650) 289-0110 | Hometown Healthcare 605 Cowper St Palo Alto CA 94301-1808 Ph: (650) 289-0110 |
| NPI Number | 1326165366 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 11/29/2012 |
| Medicare PECOS PAC ID | 7618902792 |
|---|---|
| Medicare Enrollment ID | O20051003000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326165366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Richard David Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285625236 PECOS PAC ID: 7517992118 Enrollment ID: I20051004000208 |
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