| Quattro Medical Associates, Inc. | |
|
1838 El Camino Real Suite 101 Burlingame CA 94010-3126 | |
| (415) 644-0000 | |
| (650) 952-0568 |
| Full Name | Quattro Medical Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1838 El Camino Real, Burlingame, California |
| Authorized Official Name and Position | Mark Andrew Heitner (CEO) |
| Authorized Official Contact | 4150440000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quattro Medical Associates, Inc. 723 Camino Plaza Box 225 San Bruno CA 94066-3401 Ph: (415) 644-0000 | Quattro Medical Associates, Inc. 1838 El Camino Real Suite 101 Burlingame CA 94010-3126 Ph: (415) 644-0000 |
| NPI Number | 1174633663 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/16/2015 |
| Medicare PECOS PAC ID | 7113954579 |
|---|---|
| Medicare Enrollment ID | O20050718001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174633663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G48243 (California) | Primary |
| Provider Name | Mark Heitner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922298223 PECOS PAC ID: 1153387634 Enrollment ID: I20041207000160 |
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