| Brian L Minkus | |
|
18502 Gridley Road Artesia CA 90701-5436 | |
| (562) 865-6160 | |
| (562) 468-4315 |
| Full Name | Brian L Minkus |
|---|---|
| Speciality | Family Medicine |
| Location | 18502 Gridley Road, Artesia, California |
| Authorized Official Name and Position | Brian Lee Minkus (FAMILY PRACTICE) |
| Authorized Official Contact | 5628656160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L Minkus 18502 Gridley Road Artesia CA 90701-5436 Ph: (562) 865-6160 | Brian L Minkus 18502 Gridley Road Artesia CA 90701-5436 Ph: (562) 865-6160 |
| NPI Number | 1427175082 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/19/2015 |
| Medicare PECOS PAC ID | 2264587641 |
|---|---|
| Medicare Enrollment ID | O20110329000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427175082 | NPI | - | NPPES |
| 00AX58970 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5897 (California) | Primary |
| Provider Name | Brian L Minkus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235165507 PECOS PAC ID: 0446213623 Enrollment ID: I20041109000335 |
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