| Prestige Medical Associates, Inc. | |
|
1000 Newbury Rd Ste. 130 Newbury Park CA 91320-6435 | |
| (805) 214-3122 | |
| (805) 214-3129 |
| Full Name | Prestige Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Newbury Rd, Newbury Park, California |
| Authorized Official Name and Position | Treise Chesnut (PRESIDENT) |
| Authorized Official Contact | 8052173334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Medical Associates, Inc. 1000 Newbury Rd Ste. 130 Newbury Park CA 91320-6435 Ph: (805) 214-3122 | Prestige Medical Associates, Inc. 1000 Newbury Rd Ste. 130 Newbury Park CA 91320-6435 Ph: (805) 214-3122 |
| NPI Number | 1467758235 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 08/03/2022 |
| Medicare PECOS PAC ID | 1658549720 |
|---|---|
| Medicare Enrollment ID | O20110714000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467758235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Gloria L Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952394025 PECOS PAC ID: 7012965544 Enrollment ID: I20050111000506 |
| Provider Name | Treise N Tomlinson-chesnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710970884 PECOS PAC ID: 7214037381 Enrollment ID: I20070813000782 |
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