| Robert A. Mecum, M.d., Inc. | |
|
1605 Euston Rd San Marino CA 91108-1917 | |
| (562) 789-5577 | |
| (562) 789-5567 |
| Full Name | Robert A. Mecum, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1605 Euston Rd, San Marino, California |
| Authorized Official Name and Position | Robert A Mecum (PRESIDENT) |
| Authorized Official Contact | 5627895577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Mecum, M.d., Inc. 12291 Washington Blvd Ste 304 Whittier CA 90606-2551 Ph: (562) 789-5577 | Robert A. Mecum, M.d., Inc. 1605 Euston Rd San Marino CA 91108-1917 Ph: (562) 789-5577 |
| NPI Number | 1659628758 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 04/22/2013 |
| Medicare PECOS PAC ID | 5698090686 |
|---|---|
| Medicare Enrollment ID | O20150216000872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659628758 | NPI | - | NPPES |
| 00G782580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G78258 (California) | Primary |
| Provider Name | Robert Andrew Mecum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114945680 PECOS PAC ID: 7911033535 Enrollment ID: I20100913000110 |
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