| Urgent Care Family Care | |
|
217 W Central Ave Suite G Lompoc CA 93436-2830 | |
| (805) 735-4292 | |
| (805) 735-4293 |
| Full Name | Urgent Care Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 217 W Central Ave, Lompoc, California |
| Authorized Official Name and Position | Dale Ethan Ekstrum (CEO) |
| Authorized Official Contact | 8057354292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Family Care 217 W Central Ave Suite G Lompoc CA 93436-2830 Ph: (805) 735-4292 | Urgent Care Family Care 217 W Central Ave Suite G Lompoc CA 93436-2830 Ph: (805) 735-4292 |
| NPI Number | 1316133358 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Medicare PECOS PAC ID | 5799746152 |
|---|---|
| Medicare Enrollment ID | O20041020000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316133358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G69286 (California) | Primary |
| Provider Name | Dale E Ekstrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225106602 PECOS PAC ID: 6901867274 Enrollment ID: I20041115000574 |
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Central Coast Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S B St, Lompoc, CA 93436 Phone: 805-740-9400 Fax: 805-741-2640 | |
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Santa Barbara County Public Health Dept-lompoc Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6425 |