Kevin Parzych A Medical Corp | |
4311 Larkspur St San Luis Obispo CA 93401-7839 | |
(801) 918-4238 | |
Not Available |
Full Name | Kevin Parzych A Medical Corp |
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Speciality | Family Medicine |
Location | 4311 Larkspur St, San Luis Obispo, California |
Authorized Official Name and Position | Kevin K Parzych (PRESIDENT) |
Authorized Official Contact | 8019184238 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kevin Parzych A Medical Corp 4311 Larkspur St San Luis Obispo CA 93401-7839 Ph: (801) 918-4238 | Kevin Parzych A Medical Corp 4311 Larkspur St San Luis Obispo CA 93401-7839 Ph: (801) 918-4238 |
NPI Number | 1033586714 |
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Provider Enumeration Date | 08/28/2015 |
Last Update Date | 01/17/2024 |
Medicare PECOS PAC ID | 2264741768 |
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Medicare Enrollment ID | O20151023001584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033586714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | C55876 (California) | Primary |
Provider Name | Kevin Kenneth Parzych |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497817993 PECOS PAC ID: 5597729657 Enrollment ID: I20151102001347 |
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