| Massen Medical Inc. | |
|
19682 Hesperian Blvd Ste 101a Hayward CA 94541-4752 | |
| (510) 783-0536 | |
| (510) 315-1103 |
| Full Name | Massen Medical Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 19682 Hesperian Blvd, Hayward, California |
| Authorized Official Name and Position | Arkady Massen (MEDICAL DOCTOR) |
| Authorized Official Contact | 5107830536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Massen Medical Inc. 19682 Hesperian Blvd Ste 101a Hayward CA 94541-4752 Ph: (510) 783-0536 | Massen Medical Inc. 19682 Hesperian Blvd Ste 101a Hayward CA 94541-4752 Ph: (510) 783-0536 |
| NPI Number | 1669533642 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 12/18/2013 |
| Medicare PECOS PAC ID | 4880776947 |
|---|---|
| Medicare Enrollment ID | O20080128000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669533642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 00A527260 (California) | Primary |
| Provider Name | Arkady Massen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306943626 PECOS PAC ID: 2163526526 Enrollment ID: I20080128000682 |
| Provider Name | Tiffany Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306182001 PECOS PAC ID: 0042509663 Enrollment ID: I20160519002423 |
| Provider Name | Cindy D Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669910428 PECOS PAC ID: 9830473891 Enrollment ID: I20170313000200 |
| Provider Name | Chrystal Joy Jurado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023635513 PECOS PAC ID: 0042637761 Enrollment ID: I20200826002809 |
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