Lakewest Medical Associates | |
29833 Santa Margarita Pkwy Ste. 200 Rancho Santa Margarita CA 92688-3619 | |
(949) 858-8652 | |
(949) 858-0162 |
Full Name | Lakewest Medical Associates |
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Speciality | Family Medicine |
Location | 29833 Santa Margarita Pkwy, Rancho Santa Margarita, California |
Authorized Official Name and Position | Hector Gustavo Ramirez (PRESIDENT) |
Authorized Official Contact | 9498588652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lakewest Medical Associates 29833 Santa Margarita Pkwy Ste. 200 Rancho Santa Margarita CA 92688-3619 Ph: (949) 858-8652 | Lakewest Medical Associates 29833 Santa Margarita Pkwy Ste. 200 Rancho Santa Margarita CA 92688-3619 Ph: (949) 858-8652 |
NPI Number | 1851457485 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 02/22/2012 |
Medicare PECOS PAC ID | 8729973078 |
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Medicare Enrollment ID | O20040217000350 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851457485 | NPI | - | NPPES |
1831282300 | Other | CA | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BR0765719 (California) | Primary |
Provider Name | Hector Ramirez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1831282300 PECOS PAC ID: 0042105306 Enrollment ID: I20120427000402 |
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