| Marcil M. Mamita, M.d., A Medical Corporation | |
|
3655 Lomita Blvd Ste 418 Torrance CA 90505-1934 | |
| (310) 530-6900 | |
| (310) 530-6902 |
| Full Name | Marcil M. Mamita, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3655 Lomita Blvd Ste 418, Torrance, California |
| Authorized Official Name and Position | Marcil M. Mamita (PRESIDENT) |
| Authorized Official Contact | 3104906954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcil M. Mamita, M.d., A Medical Corporation 941 Stanford St Santa Monica CA 90403-2223 Ph: (310) 490-6954 | Marcil M. Mamita, M.d., A Medical Corporation 3655 Lomita Blvd Ste 418 Torrance CA 90505-1934 Ph: (310) 530-6900 |
| NPI Number | 1295057313 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 03/08/2019 |
| Medicare PECOS PAC ID | 6800930231 |
|---|---|
| Medicare Enrollment ID | O20100223000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295057313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcil M Mamita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962412718 PECOS PAC ID: 5698722858 Enrollment ID: I20050331000508 |
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