Marianito D Sevilla Md Inc Apc | |
2340 E 8th St Suite D National City CA 91950-2869 | |
(619) 470-7007 | |
(619) 470-9379 |
Full Name | Marianito D Sevilla Md Inc Apc |
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Speciality | Family Medicine |
Location | 2340 E 8th St, National City, California |
Authorized Official Name and Position | Marianito D Sevilla (PRESIDENT/OWNER) |
Authorized Official Contact | 6194707007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marianito D Sevilla Md Inc Apc 2340 E 8th St Suite D National City CA 91950-2869 Ph: (619) 470-7007 | Marianito D Sevilla Md Inc Apc 2340 E 8th St Suite D National City CA 91950-2869 Ph: (619) 470-7007 |
NPI Number | 1043583107 |
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Provider Enumeration Date | 02/20/2012 |
Last Update Date | 02/20/2012 |
Medicare PECOS PAC ID | 2668635186 |
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Medicare Enrollment ID | O20120521000481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043583107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A37097 (California) | Primary |
Provider Name | Marianito D Sevilla |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760574727 PECOS PAC ID: 1658534177 Enrollment ID: I20120521000497 |
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San Ysidro Health National City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 D Avenue, National City, CA 91950 Phone: 619-336-2300 Fax: 619-336-2323 | |
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La Maestra Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Highland Ave Ste A, National City, CA 91950 Phone: 619-434-7308 Fax: 619-434-7310 | |
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