S Corp Inc | |
830 E Chapel St Santa Maria CA 93454-4610 | |
(805) 922-6657 | |
(805) 436-2364 |
Full Name | S Corp Inc |
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Speciality | Internal Medicine |
Location | 830 E Chapel St, Santa Maria, California |
Authorized Official Name and Position | Samer Othman (PRESIDENT/CEO) |
Authorized Official Contact | 6268007617 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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S Corp Inc Po Box 14632 San Luis Obispo CA 93406-4632 Ph: (626) 800-7617 | S Corp Inc 830 E Chapel St Santa Maria CA 93454-4610 Ph: (805) 922-6657 |
NPI Number | 1821501560 |
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Provider Enumeration Date | 11/15/2017 |
Last Update Date | 04/10/2020 |
Medicare PECOS PAC ID | 6002174802 |
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Medicare Enrollment ID | O20171228001372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821501560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A118624 (California) | Primary |
Provider Name | Samer S. Othman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437476439 PECOS PAC ID: 5092954248 Enrollment ID: I20130618000859 |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |