| Mitchell L. Seitz, M.d. P.c. | |
|
632 W 11th St Ste 111 Tracy CA 95376-3860 | |
| (209) 833-7135 | |
| (209) 833-3827 |
| Full Name | Mitchell L. Seitz, M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 632 W 11th St Ste 111, Tracy, California |
| Authorized Official Name and Position | Mitchell Lee Seitz (CEO) |
| Authorized Official Contact | 2098337135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell L. Seitz, M.d. P.c. 632 W 11th St Ste 111 Tracy CA 95376-3860 Ph: (209) 833-7135 | Mitchell L. Seitz, M.d. P.c. 632 W 11th St Ste 111 Tracy CA 95376-3860 Ph: (209) 833-7135 |
| NPI Number | 1861131955 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 05/27/2022 |
| Medicare PECOS PAC ID | 1254714520 |
|---|---|
| Medicare Enrollment ID | O20220818002964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861131955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mitchell L Seitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518943190 PECOS PAC ID: 5092708347 Enrollment ID: I20040405000576 |
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