| |
44151 15th St W Ste 211 Lancaster CA 93534 | |
(661) 949-5522 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 44151 15th St W Ste 211, Lancaster, California |
Authorized Official Name and Position | Linda James (MD) |
Authorized Official Contact | 9514792050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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19590 Griffith Dr Santa Clarita CA 91350-1764 Ph: (951) 479-2050 | 44151 15th St W Ste 211 Lancaster CA 93534 Ph: (661) 949-5522 |
NPI Number | 1770080202 |
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Provider Enumeration Date | 04/11/2018 |
Last Update Date | 07/05/2024 |
Medicare PECOS PAC ID | 4082963871 |
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Medicare Enrollment ID | O20180828003077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770080202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (California) | Primary |
Provider Name | Linda E James |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023100013 PECOS PAC ID: 5294733879 Enrollment ID: I20061114000428 |
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