| Pacific Harbor Medical Group,inc | |
|
360 N Pacific Coast Hwy Ste 3000 El Segundo CA 90245-4430 | |
| (310) 642-0100 | |
| (310) 642-0546 |
| Full Name | Pacific Harbor Medical Group,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 360 N Pacific Coast Hwy Ste 3000, El Segundo, California |
| Authorized Official Name and Position | Satish Manilal Patel (PRESIDENT) |
| Authorized Official Contact | 3106420100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Harbor Medical Group,inc 360 N Pacific Coast Hwy Ste 3000 El Segundo CA 90245-4430 Ph: (310) 642-0100 | Pacific Harbor Medical Group,inc 360 N Pacific Coast Hwy Ste 3000 El Segundo CA 90245-4430 Ph: (310) 642-0100 |
| NPI Number | 1235232349 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 7719081769 |
|---|---|
| Medicare Enrollment ID | O20070330000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235232349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Satish Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629182704 PECOS PAC ID: 3971607920 Enrollment ID: I20070330000251 |
| Provider Name | Peter Mikhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861506941 PECOS PAC ID: 0345344396 Enrollment ID: I20070330000267 |
| Provider Name | Paz Eilat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053425108 PECOS PAC ID: 3870655830 Enrollment ID: I20081229000559 |
| Provider Name | Joseph N Mikhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417119835 PECOS PAC ID: 4981843893 Enrollment ID: I20130625000159 |
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