Norcross Family Medicine, Inc. | |
65a Peninsula Center Rolling Hills Estates CA 90274-3808 | |
(310) 541-8919 | |
Not Available |
Full Name | Norcross Family Medicine, Inc. |
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Speciality | Family Medicine |
Location | 65a Peninsula Center, Rolling Hills Estates, California |
Authorized Official Name and Position | Gwenne Norcross (PRESIDENT) |
Authorized Official Contact | 3105418919 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Norcross Family Medicine, Inc. 65a Peninsula Ctr Rolling Hills Estates CA 90274-3506 Ph: (310) 541-8919 | Norcross Family Medicine, Inc. 65a Peninsula Center Rolling Hills Estates CA 90274-3808 Ph: (310) 541-8919 |
NPI Number | 1457574519 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 11/05/2019 |
Medicare PECOS PAC ID | 1355438284 |
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Medicare Enrollment ID | O20071024000585 |
Identifier | Type | State | Issuer |
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1457574519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Timothy L Norcross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528113479 PECOS PAC ID: 0446344774 Enrollment ID: I20070918000402 |
Provider Name | Gwenne N Norcross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972608438 PECOS PAC ID: 8820183478 Enrollment ID: I20070927000752 |
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