| Michael Guice Md Inc | |
|
1127 Wilshire Blvd 1509 Los Angeles CA 90017-3901 | |
| (213) 482-8600 | |
| Not Available |
| Full Name | Michael Guice Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 1127 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Michael James Guice (OWNER) |
| Authorized Official Contact | 2134828600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Guice Md Inc 1127 Wilshire Blvd. 1509 Los Angeles CA 90017-4006 Ph: (213) 482-8600 | Michael Guice Md Inc 1127 Wilshire Blvd 1509 Los Angeles CA 90017-3901 Ph: (213) 482-8600 |
| NPI Number | 1215293303 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/03/2012 |
| Medicare PECOS PAC ID | 1254592330 |
|---|---|
| Medicare Enrollment ID | O20120417000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215293303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G33573 (California) | Primary |
| Provider Name | Michael J Guice |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215944285 PECOS PAC ID: 0244200186 Enrollment ID: I20100729000943 |
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