| Lewis Gamarra Md Pc | |
|
2115 10th St Ste A2 Los Osos CA 93402-3244 | |
| (805) 534-9360 | |
| (805) 534-9345 |
| Full Name | Lewis Gamarra Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2115 10th St Ste A2, Los Osos, California |
| Authorized Official Name and Position | Lewis Edgar Gamarra (PRESIDENT) |
| Authorized Official Contact | 8054714397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Gamarra Md Pc 2115 10th St Ste A2 Los Osos CA 93402-3244 Ph: (805) 534-9360 | Lewis Gamarra Md Pc 2115 10th St Ste A2 Los Osos CA 93402-3244 Ph: (805) 534-9360 |
| NPI Number | 1164010492 |
|---|---|
| Provider Enumeration Date | 01/03/2021 |
| Last Update Date | 01/03/2021 |
| Medicare PECOS PAC ID | 7618382631 |
|---|---|
| Medicare Enrollment ID | O20210224001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164010492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lewis Gamarra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124048608 PECOS PAC ID: 5294861167 Enrollment ID: I20100330000779 |
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