| San Juan Medical Clinic, Inc | |
|
971 W 7th St Suite # B Oxnard CA 93030-6757 | |
| (805) 483-2500 | |
| (805) 483-2525 |
| Full Name | San Juan Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 971 W 7th St, Oxnard, California |
| Authorized Official Name and Position | Romany F. Demian (OWNER) |
| Authorized Official Contact | 8054832500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Medical Clinic, Inc 971 W 7th St Suite # B Oxnard CA 93030-6757 Ph: (805) 483-2500 | San Juan Medical Clinic, Inc 971 W 7th St Suite # B Oxnard CA 93030-6757 Ph: (805) 483-2500 |
| NPI Number | 1861582033 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921009614 |
|---|---|
| Medicare Enrollment ID | O20070123000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861582033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A 52286 (California) | Primary |
| Provider Name | Romany F Demian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043232085 PECOS PAC ID: 0648271338 Enrollment ID: I20070123000648 |
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