| Carmel Valley Medical Clinic, Inc | |
|
27880 Dorris Dr Suite 100 Carmel CA 93923-8581 | |
| (831) 626-4469 | |
| (831) 626-6041 |
| Full Name | Carmel Valley Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 27880 Dorris Dr, Carmel, California |
| Authorized Official Name and Position | Monique Garcia (ADMINISTRATOR) |
| Authorized Official Contact | 8316264469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmel Valley Medical Clinic, Inc 27880 Dorris Dr Suite 100 Carmel CA 93923-8581 Ph: (831) 626-4469 | Carmel Valley Medical Clinic, Inc 27880 Dorris Dr Suite 100 Carmel CA 93923-8581 Ph: (831) 626-4469 |
| NPI Number | 1649487067 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 11/25/2009 |
| Medicare PECOS PAC ID | 8729986583 |
|---|---|
| Medicare Enrollment ID | O20031230000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649487067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G36404 (California) | Primary |
| Provider Name | Lee M Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124034376 PECOS PAC ID: 1052219813 Enrollment ID: I20040115000525 |
| Provider Name | Linda Lee Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962405464 PECOS PAC ID: 2668438391 Enrollment ID: I20041204000285 |
| Provider Name | Oscar T Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710993985 PECOS PAC ID: 1355358235 Enrollment ID: I20060317000307 |
| Provider Name | Michael Travis Nilmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588023220 PECOS PAC ID: 8325378169 Enrollment ID: I20190923000227 |
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