| House Calls Medical Corporation | |
|
5434 Heron Bay Long Beach CA 90803-4821 | |
| (714) 443-5959 | |
| (714) 443-5763 |
| Full Name | House Calls Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5434 Heron Bay, Long Beach, California |
| Authorized Official Name and Position | Igor V Persidsky (PRESIDENT) |
| Authorized Official Contact | 7144435959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Calls Medical Corporation 5434 Heron Bay Long Beach CA 90803-4821 Ph: (714) 443-5959 | House Calls Medical Corporation 5434 Heron Bay Long Beach CA 90803-4821 Ph: (714) 443-5959 |
| NPI Number | 1598787574 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890961445 |
|---|---|
| Medicare Enrollment ID | O20120103000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598787574 | NPI | - | NPPES |
| 2822348 | Other | CA | CORPORATION NUMBER |
| 1437188299 | Other | CA | PERSIDSKY NPI NUMBER |
| BU99035610 | Other | CA | CITY BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54121 (California) | Primary |
| Provider Name | Igor V. Persidsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437188299 PECOS PAC ID: 6204922172 Enrollment ID: I20120103000099 |
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