| Mercy Gate Foundation | |
|
1580 Lockhart Gulch Rd Scotts Valley CA 95066-2917 | |
| (541) 908-2316 | |
| Not Available |
| Full Name | Mercy Gate Foundation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1580 Lockhart Gulch Rd, Scotts Valley, California |
| Authorized Official Name and Position | Aly Mohamed (CEO) |
| Authorized Official Contact | 5419082316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Gate Foundation 2108 N St # 6539 Sacramento CA 95816-5712 Ph: () - | Mercy Gate Foundation 1580 Lockhart Gulch Rd Scotts Valley CA 95066-2917 Ph: (541) 908-2316 |
| NPI Number | 1003608902 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003608902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Steven J. Leib, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5610 Scotts Valley Dr, Suite A, Scotts Valley, CA 95066 Phone: 831-438-9141 Fax: 831-438-2030 |