| Bunry Pin, DO | |
|
911 Sunset Dr, Hollister, CA 95023-5606 | |
| (831) 637-5711 | |
| Not Available |
| Full Name | Bunry Pin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 911 Sunset Dr, Hollister, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982130613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | PG182724 (Oregon) | Secondary |
| 208600000X | Surgery | 19951 (California) | Primary |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Hazel Hawkins Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275578817 PECOS PAC ID: 9133038326 Enrollment ID: O20040401001521 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696 |
| Entity Name | Enloe Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740922426 PECOS PAC ID: 3678946282 Enrollment ID: O20230301002967 |
| Mailing Address | Practice Location Address |
|---|---|
| Bunry Pin, DO 2150 Spinel Ct, Hollister, CA 95023-6661 Ph: (831) 801-1946 | Bunry Pin, DO 911 Sunset Dr, Hollister, CA 95023-5606 Ph: (831) 637-5711 |
Enis M Martinez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 Sunset Dr, Ste 1, Hollister, CA 95023 Phone: 831-637-1655 Fax: 831-637-6894 |