| |
1156 Fremont Blvd Seaside CA 93955-5756 | |
(831) 899-8100 | |
(831) 899-8105 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1156 Fremont Blvd, Seaside, California |
Authorized Official Name and Position | Julia Claire Edgcomb (DIRECTOR/COO CLINIC SERVICES DIV.) |
Authorized Official Contact | 8317961386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1441 Schilling Place South Bldg Floor 1 Salinas CA 93901-4527 Ph: (831) 796-1308 | 1156 Fremont Blvd Seaside CA 93955-5756 Ph: (831) 899-8100 |
NPI Number | 1881645158 |
---|---|
Provider Enumeration Date | 05/12/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2466345632 |
---|---|
Medicare Enrollment ID | O20091016000283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881645158 | NPI | - | NPPES |
FHC70530F | Medicaid | CA | |
HAP70530F | Medicaid | CA | |
ZZZ02040Z | Other | CA | PTAN |
BCP70530F | Other | CA | BCEDP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cecilia Loleng Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1780 Fremont Blvd, H, Seaside, CA 93955 Phone: 831-394-0615 Fax: 831-394-4580 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Hilby Ave, Seaside, CA 93955 Phone: 831-394-1691 Fax: 831-394-1870 |