Robert Siew Md A Medical Corporation | |
10 Congress St Ste 155 Pasadena CA 91105-3045 | |
(626) 521-5331 | |
(626) 486-0189 |
Full Name | Robert Siew Md A Medical Corporation |
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Speciality | Internal Medicine |
Location | 10 Congress St Ste 155, Pasadena, California |
Authorized Official Name and Position | Robert Siew (PRESIDENT) |
Authorized Official Contact | 6266763511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert Siew Md A Medical Corporation 2926 Canada Blvd Glendale CA 91208-2050 Ph: (626) 676-3511 | Robert Siew Md A Medical Corporation 10 Congress St Ste 155 Pasadena CA 91105-3045 Ph: (626) 521-5331 |
NPI Number | 1265017404 |
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Provider Enumeration Date | 03/09/2021 |
Last Update Date | 03/09/2021 |
Medicare PECOS PAC ID | 2163839994 |
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Medicare Enrollment ID | O20210323002637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265017404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert D Siew |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578539516 PECOS PAC ID: 2769483452 Enrollment ID: I20100322000665 |
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