| Pacific Grove Family Medicine, Inc. | |
|
621 Forest Ave Pacific Grove CA 93950-4264 | |
| (831) 649-1011 | |
| (831) 373-8201 |
| Full Name | Pacific Grove Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 621 Forest Ave, Pacific Grove, California |
| Authorized Official Name and Position | Eliot Stuart Light (PRESIDENT) |
| Authorized Official Contact | 8316491011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Grove Family Medicine, Inc. 621 Forest Ave Pacific Grove CA 93950-4264 Ph: (831) 649-1011 | Pacific Grove Family Medicine, Inc. 621 Forest Ave Pacific Grove CA 93950-4264 Ph: (831) 649-1011 |
| NPI Number | 1710232996 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 07/13/2012 |
| Medicare PECOS PAC ID | 4183877293 |
|---|---|
| Medicare Enrollment ID | O20130123000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710232996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Siang L Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821146606 PECOS PAC ID: 1850459710 Enrollment ID: I20081021000601 |
| Provider Name | Eliot Stuart Light |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942382577 PECOS PAC ID: 3072644137 Enrollment ID: I20100706000678 |
J. Gary Grant, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 Bayview Ave, Pacific Grove, CA 93950 Phone: 831-373-2322 | |
Cassandra Ohlsen, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 14th St, Pacific Grove, CA 93950 Phone: 831-647-1410 Fax: 831-647-1410 | |
David Craig Wright, M.d.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Lighthouse Ave Ste 6, Pacific Grove, CA 93950 Phone: 831-717-4444 Fax: 831-717-4446 | |
Hector A Prestera, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Congress Ave, Pacific Grove, CA 93950 Phone: 831-373-0491 | |
Pacific Grove Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Central Ave, Ste 201, Pacific Grove, CA 93950 Phone: 831-645-9990 Fax: 831-645-9993 |