Mid Valley Medical Clinic | |
27880 Dorris Dr Suite 100 Carmel CA 93923-8581 | |
(831) 626-4469 | |
(831) 626-6041 |
Full Name | Mid Valley Medical Clinic |
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Speciality | Family Medicine |
Location | 27880 Dorris Dr, Carmel, California |
Authorized Official Name and Position | Monique Garcia (ADMINISTRATOR) |
Authorized Official Contact | 8316264469 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid Valley Medical Clinic 27880 Dorris Dr Suite 100 Carmel CA 93923-8581 Ph: (831) 626-4469 | Mid Valley Medical Clinic 27880 Dorris Dr Suite 100 Carmel CA 93923-8581 Ph: (831) 626-4469 |
NPI Number | 1649487067 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 11/25/2009 |
Medicare PECOS PAC ID | 8729986583 |
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Medicare Enrollment ID | O20031230000745 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649487067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G36404 (California) | Primary |
Provider Name | Lee M Goldman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124034376 PECOS PAC ID: 1052219813 Enrollment ID: I20040115000525 |
Provider Name | Linda Lee Myers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962405464 PECOS PAC ID: 2668438391 Enrollment ID: I20041204000285 |
Provider Name | Oscar T Gray |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710993985 PECOS PAC ID: 1355358235 Enrollment ID: I20060317000307 |
Provider Name | Michael Travis Nilmeier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588023220 PECOS PAC ID: 8325378169 Enrollment ID: I20190923000227 |
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