West And East Medical Care, Inc | |
4966 El Camino Real Ste 111 Los Altos CA 94022-1406 | |
(650) 224-5497 | |
(866) 368-1227 |
Full Name | West And East Medical Care, Inc |
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Speciality | Clinic/Center |
Location | 4966 El Camino Real Ste 111, Los Altos, California |
Authorized Official Name and Position | June Shao Withers (PRESIDENT) |
Authorized Official Contact | 6509682389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West And East Medical Care, Inc 4966 El Camino Real Ste 111 Los Altos CA 94022-1406 Ph: (650) 224-5497 | West And East Medical Care, Inc 4966 El Camino Real Ste 111 Los Altos CA 94022-1406 Ph: (650) 224-5497 |
NPI Number | 1225302540 |
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Provider Enumeration Date | 03/05/2012 |
Last Update Date | 04/13/2020 |
Medicare PECOS PAC ID | 3476716903 |
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Medicare Enrollment ID | O20120521000593 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225302540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A72572 (California) | Primary |
Provider Name | June Shao Withers |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1932103843 PECOS PAC ID: 7214915826 Enrollment ID: I20040709001403 |
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