| Skiba Medical | |
|
9229 Wilshire Blvd # 1 Beverly Hills CA 90210-5501 | |
| (323) 939-1603 | |
| (323) 939-1643 |
| Full Name | Skiba Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 9229 Wilshire Blvd # 1, Beverly Hills, California |
| Authorized Official Name and Position | Charles Anthony Skiba Jr (PHYSICIAN) |
| Authorized Official Contact | 3239391603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skiba Medical Po Box 462051 Los Angeles CA 90046-8051 Ph: (323) 939-1603 | Skiba Medical 9229 Wilshire Blvd # 1 Beverly Hills CA 90210-5501 Ph: (323) 939-1603 |
| NPI Number | 1184047243 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 9739302167 |
|---|---|
| Medicare Enrollment ID | O20140603001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184047243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles A Skiba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922192046 PECOS PAC ID: 8729181292 Enrollment ID: I20070321000623 |
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