Santa Cruz Personal Physicians Inc | |
634 Frederick St Santa Cruz CA 95062 | |
(831) 421-9535 | |
(831) 421-9290 |
Full Name | Santa Cruz Personal Physicians Inc |
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Speciality | Family Medicine |
Location | 634 Frederick St, Santa Cruz, California |
Authorized Official Name and Position | Mercedes Grace Laurencin (CEO) |
Authorized Official Contact | 8314219535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Santa Cruz Personal Physicians Inc 634 Frederick St Santa Cruz CA 95062 Ph: (831) 421-9535 | Santa Cruz Personal Physicians Inc 634 Frederick St Santa Cruz CA 95062 Ph: (831) 421-9535 |
NPI Number | 1205933496 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 04/13/2018 |
Medicare PECOS PAC ID | 1759320062 |
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Medicare Enrollment ID | O20050426001503 |
Identifier | Type | State | Issuer |
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1205933496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | G51038 (California) | Primary |
Provider Name | Mercedes G Laurencin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750401055 PECOS PAC ID: 2769438985 Enrollment ID: I20050330000620 |
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