| Mary Parman D O P C | |
|
4546 El Camino Real Ste B2 Los Altos CA 94022-1069 | |
| (650) 241-8083 | |
| Not Available |
| Full Name | Mary Parman D O P C |
|---|---|
| Speciality | Specialist |
| Location | 4546 El Camino Real Ste B2, Los Altos, California |
| Authorized Official Name and Position | Mary Ellen Parman (PHYSICIAN) |
| Authorized Official Contact | 6502418083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Parman D O P C 440 N Barranca Ave # 4488 Covina CA 91723-1722 Ph: (650) 241-8340 | Mary Parman D O P C 4546 El Camino Real Ste B2 Los Altos CA 94022-1069 Ph: (650) 241-8083 |
| NPI Number | 1760185219 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 2163884925 |
|---|---|
| Medicare Enrollment ID | O20230811000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760185219 | NPI | - | NPPES |
| Provider Name | Mary Parman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194782649 PECOS PAC ID: 2567491772 Enrollment ID: I20080428000677 |
| Provider Name | Jennifer Shully |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346654092 PECOS PAC ID: 0547669913 Enrollment ID: I20210604002223 |
| Provider Name | Ashritha Bhaskar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285803825 PECOS PAC ID: 0840376513 Enrollment ID: I20230811001415 |
| Provider Name | Jessica B Barra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406519 PECOS PAC ID: 0345608105 Enrollment ID: I20230815001832 |
| Provider Name | Kira Spreenberg-bronsoms |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881301091 PECOS PAC ID: 7214383934 Enrollment ID: I20231031003281 |
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