Relish Life Practitioners Inc | |
548 Ocean View Ave Encinitas CA 92024-8040 | |
(833) 472-5474 | |
Not Available |
Full Name | Relish Life Practitioners Inc |
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Speciality | Family Medicine |
Location | 548 Ocean View Ave, Encinitas, California |
Authorized Official Name and Position | Sara Neves (MEDICAL ADMINISTRATOR) |
Authorized Official Contact | 6502292146 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Relish Life Practitioners Inc 122 15th St Unit 746 Del Mar CA 92014-8040 Ph: (833) 472-5474 | Relish Life Practitioners Inc 548 Ocean View Ave Encinitas CA 92024-8040 Ph: (833) 472-5474 |
NPI Number | 1073241857 |
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Provider Enumeration Date | 08/10/2022 |
Last Update Date | 08/10/2022 |
Medicare PECOS PAC ID | 1052785847 |
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Medicare Enrollment ID | O20230317000998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073241857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Albert Ray |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285705194 PECOS PAC ID: 9032242557 Enrollment ID: I20100804001137 |
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