| Pai Participant 7 Pc | |
|
3900 Garfield Ave Carmichael CA 95608-6647 | |
| (916) 481-6489 | |
| Not Available |
| Full Name | Pai Participant 7 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 Garfield Ave, Carmichael, California |
| Authorized Official Name and Position | Erin N Laird (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4104588713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 7 Pc Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 7 Pc 3900 Garfield Ave Carmichael CA 95608-6647 Ph: (916) 481-6489 |
| NPI Number | 1548829872 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 2466788906 |
|---|---|
| Medicare Enrollment ID | O20190722003298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548829872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | William Warshal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285620666 PECOS PAC ID: 5698662732 Enrollment ID: I20040302001444 |
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