| Mvm Medical Corporation | |
|
3300 E South St Ste 305 Lakewood CA 90805-4549 | |
| (562) 817-5602 | |
| (562) 817-5605 |
| Full Name | Mvm Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3300 E South St, Lakewood, California |
| Authorized Official Name and Position | Vikram Marfatia (PRESIDENT) |
| Authorized Official Contact | 3107562400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mvm Medical Corporation Po Box 6768 Buena Park CA 90622-6768 Ph: (562) 817-5602 | Mvm Medical Corporation 3300 E South St Ste 305 Lakewood CA 90805-4549 Ph: (562) 817-5602 |
| NPI Number | 1730427436 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 7618119132 |
|---|---|
| Medicare Enrollment ID | O20130813000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730427436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vikram S Marfatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609825579 PECOS PAC ID: 9032102017 Enrollment ID: I20040406000469 |
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