Mobile Primary Care Physicians, Inc | |
703 Pier Ave Suite B625 Hermosa Beach CA 90254-3949 | |
(310) 941-1513 | |
(888) 206-0814 |
Full Name | Mobile Primary Care Physicians, Inc |
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Speciality | General Practice |
Location | 703 Pier Ave, Hermosa Beach, California |
Authorized Official Name and Position | Mignon Walker Marquina (MEMBER) |
Authorized Official Contact | 3109411513 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mobile Primary Care Physicians, Inc 703 Pier Ave Suite B625 Hermosa Beach CA 90254-3949 Ph: (310) 941-1513 | Mobile Primary Care Physicians, Inc 703 Pier Ave Suite B625 Hermosa Beach CA 90254-3949 Ph: (310) 941-1513 |
NPI Number | 1154677557 |
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Provider Enumeration Date | 08/03/2012 |
Last Update Date | 08/03/2012 |
Medicare PECOS PAC ID | 1052562675 |
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Medicare Enrollment ID | O20121108000067 |
Identifier | Type | State | Issuer |
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1154677557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mignon W Marquina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780836114 PECOS PAC ID: 2668665456 Enrollment ID: I20101025001365 |
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