Unruh Medical Inc | |
23043 Lyons Ave Santa Clarita CA 91321-2719 | |
(661) 288-0022 | |
(661) 288-2030 |
Full Name | Unruh Medical Inc |
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Speciality | General Practice |
Location | 23043 Lyons Ave, Santa Clarita, California |
Authorized Official Name and Position | Vincent Sghiatti (MEDICAL DIRECTOR) |
Authorized Official Contact | 6612880022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Unruh Medical Inc 23043 Lyons Ave Santa Clarita CA 91321-2719 Ph: (661) 288-0022 | Unruh Medical Inc 23043 Lyons Ave Santa Clarita CA 91321-2719 Ph: (661) 288-0022 |
NPI Number | 1215321278 |
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Provider Enumeration Date | 03/26/2015 |
Last Update Date | 03/26/2015 |
Medicare PECOS PAC ID | 4183945744 |
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Medicare Enrollment ID | O20150608001533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215321278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G42926 (California) | Primary |
Provider Name | Michael Gitter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487712865 PECOS PAC ID: 0941246409 Enrollment ID: I20050706000710 |
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