| Roy Egari M.d. Medical Clinic | |
|
18011 Pioneer Blvd Artesia CA 90701-3904 | |
| (562) 402-0711 | |
| (562) 402-4338 |
| Full Name | Roy Egari M.d. Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 18011 Pioneer Blvd, Artesia, California |
| Authorized Official Name and Position | Roy Egari (OWNER) |
| Authorized Official Contact | 5624020711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Egari M.d. Medical Clinic 18011 Pioneer Blvd Artesia CA 90701-3904 Ph: (562) 402-0711 | Roy Egari M.d. Medical Clinic 18011 Pioneer Blvd Artesia CA 90701-3904 Ph: (562) 402-0711 |
| NPI Number | 1508026550 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 08/23/2016 |
| Medicare PECOS PAC ID | 7315978913 |
|---|---|
| Medicare Enrollment ID | O20050823001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508026550 | NPI | - | NPPES |
| GR0019310 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A37407 (California) | Primary |
| Provider Name | Roy Egari |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871603829 PECOS PAC ID: 3375712995 Enrollment ID: I20110816000234 |
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