Full Name | |
---|---|
Speciality | Family Medicine |
Location | 299 12th St, Marina, California |
Authorized Official Name and Position | Julia Claire Edgcomb (DIRECTOR/COO CLINIC SERVICES DIV.) |
Authorized Official Contact | 8317961386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1441 Schilling Place South Bldg Floor 1 Salinas CA 93901-4527 Ph: (831) 796-1308 | 299 12th St Marina CA 93933-6003 Ph: (831) 899-8168 |
NPI Number | 1912310855 |
---|---|
Provider Enumeration Date | 06/09/2014 |
Last Update Date | 06/16/2017 |
Medicare PECOS PAC ID | 2466345632 |
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Medicare Enrollment ID | O20141007000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912310855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
Dunecrest Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 Reservation Rd, Marina, CA 93933 Phone: 831-384-0662 Fax: 831-384-0754 | |