| Clear Medical Inc. | |
|
4560 Admiralty Way Ste 200 Marina Del Rey CA 90292-5425 | |
| (310) 306-7100 | |
| (301) 306-7107 |
| Full Name | Clear Medical Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4560 Admiralty Way Ste 200, Marina Del Rey, California |
| Authorized Official Name and Position | Shawn Abrishamy (OWNER) |
| Authorized Official Contact | 3103067100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Medical Inc. 4560 Admiralty Way Ste 200 Marina Del Rey CA 90292-5425 Ph: (310) 306-7100 | Clear Medical Inc. 4560 Admiralty Way Ste 200 Marina Del Rey CA 90292-5425 Ph: (310) 306-7100 |
| NPI Number | 1942442066 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 04/03/2009 |
| Medicare PECOS PAC ID | 4183931710 |
|---|---|
| Medicare Enrollment ID | O20150915002169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942442066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85245 (California) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | A85224 (California) | Secondary |
| Provider Name | Shahram Abrishamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649492448 PECOS PAC ID: 5294766770 Enrollment ID: I20050824000723 |
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