| Primary Caring Of Malibu Medical | |
|
22601 Pacific Coast Hwy Ste 240 Malibu CA 90265-5823 | |
| (310) 456-6505 | |
| (310) 456-8105 |
| Full Name | Primary Caring Of Malibu Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 22601 Pacific Coast Hwy Ste 240, Malibu, California |
| Authorized Official Name and Position | David Bret Baron (OWNER/PRESIDENT) |
| Authorized Official Contact | 3104566505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Caring Of Malibu Medical 22601 Pacific Coast Hwy Ste 240 Malibu CA 90265-5823 Ph: (310) 456-6505 | Primary Caring Of Malibu Medical 22601 Pacific Coast Hwy Ste 240 Malibu CA 90265-5823 Ph: (310) 456-6505 |
| NPI Number | 1679681704 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 06/10/2014 |
| Medicare PECOS PAC ID | 5597742379 |
|---|---|
| Medicare Enrollment ID | O20040630000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679681704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G67527 (California) | Primary |
| Provider Name | David B Baron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962401687 PECOS PAC ID: 9436136231 Enrollment ID: I20040701000914 |
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