| Dr. Mayer's Women's and Children | |
|
2568 Clarendon Ave Huntington Park CA 90255-4073 | |
| (323) 582-5444 | |
| (323) 584-6992 |
| Full Name | Dr. Mayer's Women's and Children |
|---|---|
| Speciality | Family Medicine |
| Location | 2568 Clarendon Ave, Huntington Park, California |
| Authorized Official Name and Position | Mayer Mayer (OWNER) |
| Authorized Official Contact | 3235825444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mayer's Women's and Children 2568 Clarendon Ave Huntington Park CA 90255-4073 Ph: (323) 582-5444 | Dr. Mayer's Women's and Children 2568 Clarendon Ave Huntington Park CA 90255-4073 Ph: (323) 582-5444 |
| NPI Number | 1194866525 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 3375776727 |
|---|---|
| Medicare Enrollment ID | O20140509000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194866525 | NPI | - | NPPES |
| GR0095862 | Other | CA | MEDI-CAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G69356 (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | G69356 (California) | Secondary |
| 208000000X | Pediatrics | G69356 (California) | Secondary |
| Provider Name | Mayer Mayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952311409 PECOS PAC ID: 5193638096 Enrollment ID: I20031106000789 |
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