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299 12th Street, Suite A Marina CA 93933 | |
(831) 647-7832 | |
(831) 647-7940 |
Full Name | |
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Speciality | Clinic/center |
Location | 299 12th Street,, Marina, California |
Authorized Official Name and Position | John Semo (MRT) |
Authorized Official Contact | 8317961653 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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299 12th Street, Suite A Marina CA 93933 Ph: (831) 647-7832 | 299 12th Street, Suite A Marina CA 93933 Ph: (831) 647-7832 |
NPI Number | 1356473862 |
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Provider Enumeration Date | 03/10/2007 |
Last Update Date | 06/12/2013 |
Identifier | Type | State | Issuer |
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1356473862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | 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 | |