| Sound Ltc Of California I Pc | |
|
1498 Pacific Ave Ste 400 Tacoma WA 98402-4208 | |
| (615) 577-6340 | |
| Not Available |
| Full Name | Sound Ltc Of California I Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1498 Pacific Ave Ste 400, Tacoma, Washington |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Ltc Of California I Pc 120 Brentwood Commons Way Ste 510 Brentwood TN 37027-2028 Ph: (615) 577-6340 | Sound Ltc Of California I Pc 1498 Pacific Ave Ste 400 Tacoma WA 98402-4208 Ph: (615) 577-6340 |
| NPI Number | 1013648831 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 2062893191 |
|---|---|
| Medicare Enrollment ID | O20220720001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013648831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wali Abawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104362268 PECOS PAC ID: 7911230925 Enrollment ID: I20190606001069 |
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