True Care Mobile Inc. A Medical Corp | |
2888 Loker Ave E Suite 111 Carlsbad CA 92010-6682 | |
(619) 507-4857 | |
Not Available |
Full Name | True Care Mobile Inc. A Medical Corp |
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Speciality | General Practice |
Location | 2888 Loker Ave E, Carlsbad, California |
Authorized Official Name and Position | Alan Michael Krystal (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6195074857 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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True Care Mobile Inc. A Medical Corp 2888 Loker Ave E Suite 111 Carlsbad CA 92010-6682 Ph: (619) 507-4857 | True Care Mobile Inc. A Medical Corp 2888 Loker Ave E Suite 111 Carlsbad CA 92010-6682 Ph: (619) 507-4857 |
NPI Number | 1396145439 |
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Provider Enumeration Date | 08/26/2014 |
Last Update Date | 11/07/2014 |
Medicare PECOS PAC ID | 0840503371 |
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Medicare Enrollment ID | O20150806013007 |
Identifier | Type | State | Issuer |
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1396145439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | G74558 (California) | Primary |
Provider Name | Alan M Krystal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215078399 PECOS PAC ID: 9931094646 Enrollment ID: I20040219001022 |
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