| Bhlea Biomed Inc | |
|
6408 Brookstone Ln Ste A Fayetteville NC 28314-2583 | |
| (714) 267-2640 | |
| Not Available |
| Full Name | Bhlea Biomed Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6408 Brookstone Ln Ste A, Fayetteville, North Carolina |
| Authorized Official Name and Position | Erik Won (PHYSICIAN) |
| Authorized Official Contact | 7142672640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhlea Biomed Inc 611 Poplar St Fullerton CA 92835-4423 Ph: () - | Bhlea Biomed Inc 6408 Brookstone Ln Ste A Fayetteville NC 28314-2583 Ph: (714) 267-2640 |
| NPI Number | 1598582207 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Medicare PECOS PAC ID | 0941739072 |
|---|---|
| Medicare Enrollment ID | O20250117003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598582207 | NPI | - | NPPES |
| Provider Name | John Dorsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629058821 PECOS PAC ID: 5991978595 Enrollment ID: I20111026000708 |
| Provider Name | Erik Won |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053579946 PECOS PAC ID: 2769911890 Enrollment ID: I20250207003042 |
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