| Eric Speare M.d. A Medical Corporation | |
|
33971 Selva Rd Suite 150 Dana Point CA 92629-3788 | |
| (949) 493-6633 | |
| (949) 493-0669 |
| Full Name | Eric Speare M.d. A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 33971 Selva Rd, Dana Point, California |
| Authorized Official Name and Position | Eric Speare (OWNER) |
| Authorized Official Contact | 9494936633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Speare M.d. A Medical Corporation 33971 Selva Rd Suite 150 Dana Point CA 92629-3788 Ph: (949) 493-6633 | Eric Speare M.d. A Medical Corporation 33971 Selva Rd Suite 150 Dana Point CA 92629-3788 Ph: (949) 493-6633 |
| NPI Number | 1124398151 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 5496922171 |
|---|---|
| Medicare Enrollment ID | O20120120000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G36043 (California) | Primary |
| Provider Name | Eric M Speare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306984570 PECOS PAC ID: 8921275611 Enrollment ID: I20120120000395 |
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