Richard A Enns Md Inc | |
7677 Center Ave Suite 100 Huntington Beach CA 92647-3074 | |
(714) 891-1731 | |
(714) 891-0129 |
Full Name | Richard A Enns Md Inc |
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Speciality | Family Medicine |
Location | 7677 Center Ave, Huntington Beach, California |
Authorized Official Name and Position | Richard Allen Enns (PRESIDENT) |
Authorized Official Contact | 7148911731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard A Enns Md Inc 7677 Center Ave Suite 100 Huntington Beach CA 92647-3074 Ph: (714) 891-1731 | Richard A Enns Md Inc 7677 Center Ave Suite 100 Huntington Beach CA 92647-3074 Ph: (714) 891-1731 |
NPI Number | 1154492213 |
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Provider Enumeration Date | 11/12/2006 |
Last Update Date | 08/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154492213 | NPI | - | NPPES |
00A293270 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A29327 (California) | Primary |
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