| Royal E Dean Md Medical Corporation | |
|
1687 Erringer Rd Ste 217 Simi Valley CA 93065-6510 | |
| (805) 577-1515 | |
| (805) 577-0559 |
| Full Name | Royal E Dean Md Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 1687 Erringer Rd Ste 217, Simi Valley, California |
| Authorized Official Name and Position | Royal E Dean (PHYSICIAN) |
| Authorized Official Contact | 8055771515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal E Dean Md Medical Corporation 1687 Erringer Rd Ste 217 Simi Valley CA 93065-6510 Ph: (805) 577-1515 | Royal E Dean Md Medical Corporation 1687 Erringer Rd Ste 217 Simi Valley CA 93065-6510 Ph: (805) 577-1515 |
| NPI Number | 1922309004 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Medicare PECOS PAC ID | 4587859889 |
|---|---|
| Medicare Enrollment ID | O20101112000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922309004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G063880 (California) | Primary |
| Provider Name | Royal Edward Dean |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417976945 PECOS PAC ID: 7810182110 Enrollment ID: I20101112000098 |
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