| Jeremy Anuntiyo Md Inc | |
|
1360 W 6th St Ste 310 San Pedro CA 90732-3599 | |
| (562) 529-7772 | |
| (562) 529-5449 |
| Full Name | Jeremy Anuntiyo Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1360 W 6th St Ste 310, San Pedro, California |
| Authorized Official Name and Position | Jeremy Anuntiyo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5625297772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Anuntiyo Md Inc 1360 W 6th St Ste 310 San Pedro CA 90732-3599 Ph: (562) 529-7772 | Jeremy Anuntiyo Md Inc 1360 W 6th St Ste 310 San Pedro CA 90732-3599 Ph: (562) 529-7772 |
| NPI Number | 1013168749 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 02/14/2020 |
| Medicare PECOS PAC ID | 8426111642 |
|---|---|
| Medicare Enrollment ID | O20090114000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013168749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
| Provider Name | Jeremy Anuntiyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811183585 PECOS PAC ID: 4082635776 Enrollment ID: I20080609000401 |
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