Muhammad J. Memon Professional Corporation | |
555 W Compton Blvd 104 Compton CA 90220-3085 | |
(310) 639-7200 | |
(310) 639-0200 |
Full Name | Muhammad J. Memon Professional Corporation |
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Speciality | Family Medicine |
Location | 555 W Compton Blvd, Compton, California |
Authorized Official Name and Position | Muhammad J Memon (PRESIDENT) |
Authorized Official Contact | 3106397200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Muhammad J. Memon Professional Corporation 555 W Compton Blvd 104 Compton CA 90220-3085 Ph: (310) 639-7200 | Muhammad J. Memon Professional Corporation 555 W Compton Blvd 104 Compton CA 90220-3085 Ph: (310) 639-7200 |
NPI Number | 1376873554 |
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Provider Enumeration Date | 01/11/2010 |
Last Update Date | 01/11/2010 |
Medicare PECOS PAC ID | 7113061144 |
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Medicare Enrollment ID | O20100215000412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376873554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Muhammad J Memon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689744120 PECOS PAC ID: 6305980335 Enrollment ID: I20100215000403 |
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