| Medical And Healing Arts, Inc | |
|
515 E Commonwealth Ave Fullerton CA 92832-2020 | |
| (714) 871-7118 | |
| (714) 871-3372 |
| Full Name | Medical And Healing Arts, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 515 E Commonwealth Ave, Fullerton, California |
| Authorized Official Name and Position | Carl William Buckhorn (PRESIDENT) |
| Authorized Official Contact | 7148717118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical And Healing Arts, Inc 515 E Commonwealth Ave Fullerton CA 92832-2020 Ph: (714) 871-7118 | Medical And Healing Arts, Inc 515 E Commonwealth Ave Fullerton CA 92832-2020 Ph: (714) 871-7118 |
| NPI Number | 1225373590 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Medicare PECOS PAC ID | 9133372584 |
|---|---|
| Medicare Enrollment ID | O20130115000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225373590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | G73630 (California) | Primary |
| Provider Name | Carl W Buckhorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649264847 PECOS PAC ID: 8224050281 Enrollment ID: I20051219001011 |
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