| Marc R Shapiro Medical Corp | |
|
3400 Emerson St Suite A Clearlake CA 95422-9529 | |
| (707) 994-7241 | |
| (707) 994-0870 |
| Full Name | Marc R Shapiro Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Emerson St, Clearlake, California |
| Authorized Official Name and Position | Marc Randall Shapiro (CEO) |
| Authorized Official Contact | 7079947241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc R Shapiro Medical Corp 3400 Emerson St Suite A Clearlake CA 95422-9529 Ph: (707) 994-7241 | Marc R Shapiro Medical Corp 3400 Emerson St Suite A Clearlake CA 95422-9529 Ph: (707) 994-7241 |
| NPI Number | 1235373184 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235373184 | NPI | - | NPPES |
| DP1119 | Other | CA | MEDICARE RAILROAD |
| 1235373184 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G34359 (California) | Primary |
St. Helena Family Practice Clearlake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Suite 202, Clearlake, CA 95422 Phone: 707-994-0305 | |
Lake County Tribal Health Southshore Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Olympic Drive, Clearlake, CA 95422 Phone: 707-263-8382 Fax: 707-263-5019 | |
Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18th Ave And Highway 53, Clearlake, CA 95422 Phone: 707-987-3311 Fax: 707-987-2455 | |
Family Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Ste. 201, Clearlake, CA 95422 Phone: 707-994-2920 Fax: 707-994-2917 | |
Lake County Tribal Health Consortium, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14678 Lakeshore Boulevard, Clearlake, CA 95453 Phone: 707-262-8382 | |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Drive, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401 |