| Mountain View Medical Care, Inc. | |
|
4966 El Camino Real Ste 111 Los Altos CA 94022-1406 | |
| (650) 224-5497 | |
| (866) 368-1227 |
| Full Name | Mountain View Medical Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4966 El Camino Real Ste 111, Los Altos, California |
| Authorized Official Name and Position | June Shao Withers (PRESIDENT) |
| Authorized Official Contact | 6509682389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Medical Care, Inc. 4966 El Camino Real Ste 111 Los Altos CA 94022-1406 Ph: (650) 224-5497 | Mountain View Medical Care, Inc. 4966 El Camino Real Ste 111 Los Altos CA 94022-1406 Ph: (650) 224-5497 |
| NPI Number | 1225302540 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 04/13/2020 |
| Medicare PECOS PAC ID | 3476716903 |
|---|---|
| Medicare Enrollment ID | O20120521000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225302540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A72572 (California) | Primary |
| Provider Name | June Shao Withers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932103843 PECOS PAC ID: 7214915826 Enrollment ID: I20040709001403 |
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