| Family Clinic Of Merced Medical Office Inc | |
|
450 E Yosemite Ave Ste B Merced CA 95340-8429 | |
| (209) 383-3152 | |
| (209) 383-3137 |
| Full Name | Family Clinic Of Merced Medical Office Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 E Yosemite Ave, Merced, California |
| Authorized Official Name and Position | Jaipal Reddy (PRESIDENT OWNER) |
| Authorized Official Contact | 2093833152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic Of Merced Medical Office Inc 450 E Yosemite Ave Ste B Merced CA 95340-8429 Ph: (209) 383-3152 | Family Clinic Of Merced Medical Office Inc 450 E Yosemite Ave Ste B Merced CA 95340-8429 Ph: (209) 383-3152 |
| NPI Number | 1952496697 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/27/2014 |
| Medicare PECOS PAC ID | 9537059936 |
|---|---|
| Medicare Enrollment ID | O20040318001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952496697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jaipal M Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275638942 PECOS PAC ID: 9133219124 Enrollment ID: I20100825000085 |
| Provider Name | Lorraine K Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184729857 PECOS PAC ID: 2860516804 Enrollment ID: I20100827000832 |
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