| New Vision Telemedicine And Medical Consultant, Inc. | |
|
830 E Chapel St Santa Maria CA 93454-4610 | |
| (805) 821-1176 | |
| Not Available |
| Full Name | New Vision Telemedicine And Medical Consultant, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 E Chapel St, Santa Maria, California |
| Authorized Official Name and Position | Ahmad K Nooristani (PRESIDENT) |
| Authorized Official Contact | 8058211176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Telemedicine And Medical Consultant, Inc. 525 Bluerock Dr San Luis Obispo CA 93401-5678 Ph: () - | New Vision Telemedicine And Medical Consultant, Inc. 830 E Chapel St Santa Maria CA 93454-4610 Ph: (805) 821-1176 |
| NPI Number | 1184279606 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 6901235928 |
|---|---|
| Medicare Enrollment ID | O20200326001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184279606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad K Nooristani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659537306 PECOS PAC ID: 1052472479 Enrollment ID: I20081204000093 |
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