Mateusz Andrzej Lapucha, MD | |
222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245-5648 | |
(877) 878-3289 | |
(877) 817-3227 |
Full Name | Mateusz Andrzej Lapucha |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 222 N Pacific Coast Hwy Ste 1420, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992191266 | NPI | - | NPPES |
321700 | Other | LA | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS |
19688 | Other | NV | NEVADA STATE BOARD OF MEDICAL EXAMINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 19688 (Nevada) | Secondary |
208D00000X | General Practice | 321700 (Louisiana) | Primary |
Entity Name | Robert Marriott Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20121023000597 |
Mailing Address | Practice Location Address |
---|---|
Mateusz Andrzej Lapucha, MD 2 Hopkins Plz Unit 1613, Baltimore, MD 21201-2943 Ph: (337) 371-8163 | Mateusz Andrzej Lapucha, MD 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245-5648 Ph: (877) 878-3289 |
Dr. Hak Pak Wong, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 455 Main St, El Segundo, CA 90245 Phone: 310-322-1611 Fax: 310-322-0748 | |
Eaman Balouch, MD PHD General Practice Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245 Phone: 310-524-1305 |