Trilogy Medical, Inc | |
280 W Hamilton Ave Campbell CA 95008-0507 | |
(408) 796-7017 | |
Not Available |
Full Name | Trilogy Medical, Inc |
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Speciality | General Practice |
Location | 280 W Hamilton Ave, Campbell, California |
Authorized Official Name and Position | Jeff Lester (OWNER) |
Authorized Official Contact | 4087967017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trilogy Medical, Inc 280 W Hamilton Ave Campbell CA 95008-0507 Ph: (408) 796-7017 | Trilogy Medical, Inc 280 W Hamilton Ave Campbell CA 95008-0507 Ph: (408) 796-7017 |
NPI Number | 1578929907 |
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Provider Enumeration Date | 01/14/2016 |
Last Update Date | 01/14/2016 |
Medicare PECOS PAC ID | 2365723814 |
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Medicare Enrollment ID | O20161221001930 |
Identifier | Type | State | Issuer |
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1578929907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 20A5421 (California) | Primary |
Provider Name | Jeff D Lester |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1457436990 PECOS PAC ID: 4981859519 Enrollment ID: I20130304000551 |
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