| Debwan Medical Corporation | |
|
2813 Shelter Hill Dr Fairfield CA 94534-8628 | |
| (310) 994-0241 | |
| Not Available |
| Full Name | Debwan Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2813 Shelter Hill Dr, Fairfield, California |
| Authorized Official Name and Position | Sadek Debwan (CEO) |
| Authorized Official Contact | 3109940241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debwan Medical Corporation 2813 Shelter Hill Dr Fairfield CA 94534-8628 Ph: () - | Debwan Medical Corporation 2813 Shelter Hill Dr Fairfield CA 94534-8628 Ph: (310) 994-0241 |
| NPI Number | 1699596817 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 2961930607 |
|---|---|
| Medicare Enrollment ID | O20250109000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699596817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sadek Debwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396368585 PECOS PAC ID: 9830551159 Enrollment ID: I20241219002992 |
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