Shawn Crum, D.o., M.p.h. A Medical Corporation | |
16787 Beach Blvd #337 Huntington Beach CA 92647-4848 | |
(714) 903-7767 | |
(714) 903-7801 |
Full Name | Shawn Crum, D.o., M.p.h. A Medical Corporation |
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Speciality | Internal Medicine |
Location | 16787 Beach Blvd, Huntington Beach, California |
Authorized Official Name and Position | Shawn Crum (PRESIDENT) |
Authorized Official Contact | 7146989042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shawn Crum, D.o., M.p.h. A Medical Corporation 16787 Beach Blvd #337 Huntington Beach CA 92647-4848 Ph: (714) 903-7767 | Shawn Crum, D.o., M.p.h. A Medical Corporation 16787 Beach Blvd #337 Huntington Beach CA 92647-4848 Ph: (714) 903-7767 |
NPI Number | 1326495250 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 05/27/2016 |
Medicare PECOS PAC ID | 0840586673 |
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Medicare Enrollment ID | O20160926000590 |
Identifier | Type | State | Issuer |
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1326495250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | 20A12244 (California) | Primary |
Provider Name | Shawn Michael Crum |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1295018984 PECOS PAC ID: 3375774169 Enrollment ID: I20140319001649 |
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