| Nova Medical, Professional Corporation | |
|
1170 W Olive Ave Ste B Merced CA 95348-1959 | |
| (209) 379-6002 | |
| (209) 336-5002 |
| Full Name | Nova Medical, Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1170 W Olive Ave Ste B, Merced, California |
| Authorized Official Name and Position | Gessie Wompleh Lurlay (OWNER) |
| Authorized Official Contact | 5594749030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical, Professional Corporation 4463 Conway Ct Merced CA 95348-8500 Ph: (209) 379-6002 | Nova Medical, Professional Corporation 1170 W Olive Ave Ste B Merced CA 95348-1959 Ph: (209) 379-6002 |
| NPI Number | 1386532893 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 08/07/2025 |
| Certification Date | 08/07/2025 |
| Medicare PECOS PAC ID | 6800399957 |
|---|---|
| Medicare Enrollment ID | O20250912003820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386532893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Gessie Wompleh Lurlay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003445677 PECOS PAC ID: 4880057397 Enrollment ID: I20230831001479 |
| Provider Name | Simrit Singh Dyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578192043 PECOS PAC ID: 0648625137 Enrollment ID: I20231019000178 |
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