| Pmd Wellness Center Inc. | |
|
Pmd Wellness Center Inc 1187 E. Anaheim St. Long Beach CA 90813-3663 | |
| (562) 599-2119 | |
| (562) 218-7062 |
| Full Name | Pmd Wellness Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | Pmd Wellness Center Inc, Long Beach, California |
| Authorized Official Name and Position | Isaias Paja (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5625992119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmd Wellness Center Inc. Pmd Wellness Center Inc 1187 E. Anaheim St. Long Beach CA 90813-3663 Ph: (562) 599-2119 | Pmd Wellness Center Inc. Pmd Wellness Center Inc 1187 E. Anaheim St. Long Beach CA 90813-3663 Ph: (562) 599-2119 |
| NPI Number | 1104485887 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 05/04/2020 |
| Medicare PECOS PAC ID | 8628307923 |
|---|---|
| Medicare Enrollment ID | O20190912000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104485887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Isaias D Paja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518997709 PECOS PAC ID: 9931173440 Enrollment ID: I20040820001000 |
| Provider Name | Mushtaq A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407920333 PECOS PAC ID: 9436233046 Enrollment ID: I20110726000509 |
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