| Premier Medical Care | |
|
1860 El Camino Real Ste 321 Burlingame CA 94010-3127 | |
| (650) 552-8180 | |
| (650) 552-8199 |
| Full Name | Premier Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1860 El Camino Real, Burlingame, California |
| Authorized Official Name and Position | Alexander Lakowsky (CEO) |
| Authorized Official Contact | 6505528180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Care 1860 El Camino Real Ste 321 Burlingame CA 94010-3127 Ph: (650) 552-8180 | Premier Medical Care 1860 El Camino Real Ste 321 Burlingame CA 94010-3127 Ph: (650) 552-8180 |
| NPI Number | 1407306137 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 12/28/2016 |
| Medicare PECOS PAC ID | 9638450190 |
|---|---|
| Medicare Enrollment ID | O20161221002217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407306137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A86437 (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | A87310 (California) | Secondary |
| Provider Name | Alexander Lakowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902824550 PECOS PAC ID: 8224008867 Enrollment ID: I20040729001296 |
| Provider Name | Andra E Batlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801816343 PECOS PAC ID: 7214908854 Enrollment ID: I20040805000559 |
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