| Genesis Medic | |
|
1091 S Matthew Way Anaheim CA 92808-1459 | |
| (714) 348-5631 | |
| Not Available |
| Full Name | Genesis Medic |
|---|---|
| Speciality | Home Health |
| Location | 1091 S Matthew Way, Anaheim, California |
| Authorized Official Name and Position | Araba Sackey (DIRECTOR) |
| Authorized Official Contact | 7143485631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medic 1091 S Matthew Way Anaheim CA 92808-1459 Ph: (714) 348-5631 | Genesis Medic 1091 S Matthew Way Anaheim CA 92808-1459 Ph: (714) 348-5631 |
| NPI Number | 1245753136 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245753136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 95004382 (California) | Secondary |
| 251E00000X | Home Health | 95004382 (California) | Primary |
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