| Kevin Parzych A Medical Corp | |
|
4311 Larkspur St San Luis Obispo CA 93401-7839 | |
| (801) 918-4238 | |
| Not Available |
| Full Name | Kevin Parzych A Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 4311 Larkspur St, San Luis Obispo, California |
| Authorized Official Name and Position | Kevin K Parzych (PRESIDENT) |
| Authorized Official Contact | 8019184238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Parzych A Medical Corp 4311 Larkspur St San Luis Obispo CA 93401-7839 Ph: (801) 918-4238 | Kevin Parzych A Medical Corp 4311 Larkspur St San Luis Obispo CA 93401-7839 Ph: (801) 918-4238 |
| NPI Number | 1033586714 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 2264741768 |
|---|---|
| Medicare Enrollment ID | O20151023001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033586714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C55876 (California) | Primary |
| Provider Name | Kevin Kenneth Parzych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497817993 PECOS PAC ID: 5597729657 Enrollment ID: I20151102001347 |
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