Michael Markopoulos Md Inc | |
2683 Via De La Valle Suite G626 Del Mar CA 92014-1911 | |
(858) 481-0412 | |
Not Available |
Full Name | Michael Markopoulos Md Inc |
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Speciality | Family Medicine |
Location | 2683 Via De La Valle, Del Mar, California |
Authorized Official Name and Position | Michael Markopoulos (PRESIDENT) |
Authorized Official Contact | 8584810412 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael Markopoulos Md Inc 2683 Via De La Valle Suite G626 Del Mar CA 92014-1911 Ph: (858) 481-0412 | Michael Markopoulos Md Inc 2683 Via De La Valle Suite G626 Del Mar CA 92014-1911 Ph: (858) 481-0412 |
NPI Number | 1427231018 |
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Provider Enumeration Date | 12/06/2007 |
Last Update Date | 01/06/2009 |
Medicare PECOS PAC ID | 7214964253 |
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Medicare Enrollment ID | O20090108000171 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427231018 | NPI | - | NPPES |
00G346870 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | G346870 (California) | Primary |
Provider Name | Michael Markopoulos |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1023178464 PECOS PAC ID: 1658433636 Enrollment ID: I20081230000047 |
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