| Mikael Hakansson, M.d. Corp. | |
|
533 Sespe Ave Ste C Fillmore CA 93015-1942 | |
| (805) 524-2749 | |
| (805) 524-6929 |
| Full Name | Mikael Hakansson, M.d. Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 533 Sespe Ave Ste C, Fillmore, California |
| Authorized Official Name and Position | Mikael Hakansson (CEO) |
| Authorized Official Contact | 8055242749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikael Hakansson, M.d. Corp. 533 Sespe Ave Ste C Fillmore CA 93015-1942 Ph: (805) 524-2749 | Mikael Hakansson, M.d. Corp. 533 Sespe Ave Ste C Fillmore CA 93015-1942 Ph: (805) 524-2749 |
| NPI Number | 1487204863 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 3971935750 |
|---|---|
| Medicare Enrollment ID | O20191115002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487204863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mikael K Hakansson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942245113 PECOS PAC ID: 8628004306 Enrollment ID: I20050713001172 |
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