| Lemi Medical Center Professional Corporation | |
|
1838 El Camino Real Suite 100 Burlingame CA 94010-3126 | |
| (650) 697-0361 | |
| (650) 697-8752 |
| Full Name | Lemi Medical Center Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1838 El Camino Real, Burlingame, California |
| Authorized Official Name and Position | Nani Kanen (OWNER) |
| Authorized Official Contact | 6506970361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemi Medical Center Professional Corporation 1838 El Camino Real Suite 100 Burlingame CA 94010-3126 Ph: (650) 697-0361 | Lemi Medical Center Professional Corporation 1838 El Camino Real Suite 100 Burlingame CA 94010-3126 Ph: (650) 697-0361 |
| NPI Number | 1417045238 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 07/19/2010 |
| Medicare PECOS PAC ID | 9436220241 |
|---|---|
| Medicare Enrollment ID | O20080623000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417045238 | NPI | - | NPPES |
| C2865505 | Other | CA | CA STATE CORPORATE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A77565 (California) | Primary |
| Provider Name | Nani Kanen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548358435 PECOS PAC ID: 5698846400 Enrollment ID: I20080623000521 |
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