Zoomdoctorsonline Llc | |
2730 Wilshire Blvd Ste 220 Santa Monica CA 90403-4749 | |
(747) 400-9002 | |
Not Available |
Full Name | Zoomdoctorsonline Llc |
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Speciality | Clinic/Center |
Location | 2730 Wilshire Blvd Ste 220, Santa Monica, California |
Authorized Official Name and Position | Veronica Lazarus (CEO) |
Authorized Official Contact | 7474009002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zoomdoctorsonline Llc 2730 Wilshire Blvd Ste 220 Santa Monica CA 90403-4749 Ph: (747) 400-9002 | Zoomdoctorsonline Llc 2730 Wilshire Blvd Ste 220 Santa Monica CA 90403-4749 Ph: (747) 400-9002 |
NPI Number | 1861095127 |
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Provider Enumeration Date | 11/19/2020 |
Last Update Date | 11/19/2020 |
Medicare PECOS PAC ID | 0446662522 |
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Medicare Enrollment ID | O20201214002514 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861095127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Veronica Lazarus |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932476322 PECOS PAC ID: 7416369590 Enrollment ID: I20201214002669 |
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