| Association Of Professional Medical Centers Inc | |
|
5344 W Prospect Ct Visalia CA 93291-9274 | |
| (559) 625-1691 | |
| (559) 625-1064 |
| Full Name | Association Of Professional Medical Centers Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5344 W Prospect Ct, Visalia, California |
| Authorized Official Name and Position | Richard Leo Pantera (PRESIDENT) |
| Authorized Official Contact | 5596251691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Association Of Professional Medical Centers Inc 5344 W Prospect Ct Visalia CA 93291-9274 Ph: (559) 625-1691 | Association Of Professional Medical Centers Inc 5344 W Prospect Ct Visalia CA 93291-9274 Ph: (559) 625-1691 |
| NPI Number | 1831499573 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 9638343478 |
|---|---|
| Medicare Enrollment ID | O20111114000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831499573 | NPI | - | NPPES |
| 00G364660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G36466 (California) | Primary |
| Provider Name | Richard Leo Pantera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457461725 PECOS PAC ID: 6709050545 Enrollment ID: I20111114000424 |
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