Simicare Medical Group Inc | |
1164 Swallow Ln Simi Valley CA 93065-3154 | |
(805) 583-8000 | |
(805) 583-8001 |
Full Name | Simicare Medical Group Inc |
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Speciality | Family Medicine |
Location | 1164 Swallow Ln, Simi Valley, California |
Authorized Official Name and Position | Mojgan Hosseini Sadeghi (PRESIDENT) |
Authorized Official Contact | 8055838000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simicare Medical Group Inc 1164 Swallow Ln Simi Valley CA 93065-3154 Ph: (805) 583-8000 | Simicare Medical Group Inc 1164 Swallow Ln Simi Valley CA 93065-3154 Ph: (805) 583-8000 |
NPI Number | 1538584263 |
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Provider Enumeration Date | 03/05/2014 |
Last Update Date | 10/09/2014 |
Medicare PECOS PAC ID | 5193940617 |
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Medicare Enrollment ID | O20140625001470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538584263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A79902 (* (Not Available)) | Primary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
Provider Name | Mojgan H Sadeghi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942318902 PECOS PAC ID: 2264620590 Enrollment ID: I20101230000319 |
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