| Macer Medical | |
|
827 Deep Valley Dr Suite 207 Rolling Hills Estates CA 90274-3647 | |
| (310) 541-8400 | |
| (310) 541-7900 |
| Full Name | Macer Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 827 Deep Valley Dr, Rolling Hills Estates, California |
| Authorized Official Name and Position | Cynthia Macer (PRESIDENT/ OWNER) |
| Authorized Official Contact | 3105418400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macer Medical Po Box 3098 Torrance CA 90510-3098 Ph: (310) 792-3914 | Macer Medical 827 Deep Valley Dr Suite 207 Rolling Hills Estates CA 90274-3647 Ph: (310) 541-8400 |
| NPI Number | 1114295417 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 2860775210 |
|---|---|
| Medicare Enrollment ID | O20170208001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114295417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G67152 (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | G42123 (California) | Secondary |
| Provider Name | James Armen Macer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134129711 PECOS PAC ID: 2567645005 Enrollment ID: I20110322000326 |
| Provider Name | Christine A Kuida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518958495 PECOS PAC ID: 8628218641 Enrollment ID: I20130715000517 |
| Provider Name | Cynthia Latham Macer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659423374 PECOS PAC ID: 5799081360 Enrollment ID: I20170208001797 |
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