| Patriot Family Medicine | |
|
885 Patriot Dr Unit F Moorpark CA 93021-3361 | |
| (805) 334-1371 | |
| Not Available |
| Full Name | Patriot Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 885 Patriot Dr, Moorpark, California |
| Authorized Official Name and Position | Fadel Abdulhai (PHYSICIAN) |
| Authorized Official Contact | 3107384975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Family Medicine 885 Patriot Dr Unit F Moorpark CA 93021-3361 Ph: (805) 334-1371 | Patriot Family Medicine 885 Patriot Dr Unit F Moorpark CA 93021-3361 Ph: (805) 334-1371 |
| NPI Number | 1114308343 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 09/22/2015 |
| Medicare PECOS PAC ID | 5496064230 |
|---|---|
| Medicare Enrollment ID | O20151019001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114308343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A11553 (California) | Primary |
| Provider Name | Fadel Abdulhai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477797124 PECOS PAC ID: 6103097035 Enrollment ID: I20110926000130 |
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