Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 301 N R St, Lompoc, California |
Authorized Official Name and Position | Dana Bruce Gamble (DEPUTY DIRECTOR) |
Authorized Official Contact | 8056815171 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
300 N. San Antonio Road Santa Barbara CA 93110-1332 Ph: (805) 681-5461 | 301 N R St Lompoc CA 93436-5226 Ph: (805) 737-6400 |
NPI Number | 1710079264 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 06/30/2021 |
Medicare PECOS PAC ID | 9335052083 |
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Medicare Enrollment ID | O20050111000791 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710079264 | NPI | - | NPPES |
Rahim A Raoufi, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 S D St, Suite B, Lompoc, CA 93436 Phone: 208-667-9334 Fax: 208-664-2341 | |
Central Coast Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S B St, Lompoc, CA 93436 Phone: 805-740-9400 Fax: 805-741-2640 | |