Eternal Beauty Medical Clinic, Inc - Medicare Primary Care in Los Gatos, CA

Eternal Beauty Medical Clinic, Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Los Gatos, California. The current practice location for Eternal Beauty Medical Clinic, Inc is 248 Los Gatos Saratoga Rd, Los Gatos, California. For appointments, you can reach them via phone at (408) 354-3587. The mailing address for Eternal Beauty Medical Clinic, Inc is 248 Los Gatos Saratoga Rd, Los Gatos, California and phone number is (408) 354-3587.

Eternal Beauty Medical Clinic, Inc is licensed to practice in California (license number A063086). The clinic also participates in the medicare program and its NPI number is 1033282892. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (408) 354-3587.

Contact Information

Eternal Beauty Medical Clinic, Inc
248 Los Gatos Saratoga Rd
Los Gatos
CA 95030-5317
(408) 354-3587
(408) 354-3651

Primary Care Clinic Profile

Full NameEternal Beauty Medical Clinic, Inc
SpecialityClinic/Center
Location248 Los Gatos Saratoga Rd, Los Gatos, California
Authorized Official Name and PositionForouzan Vaghar (PRESIDENT)
Authorized Official Contact4083543587
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eternal Beauty Medical Clinic, Inc
248 Los Gatos Saratoga Rd
Los Gatos
CA 95030-5317

Ph: (408) 354-3587
Eternal Beauty Medical Clinic, Inc
248 Los Gatos Saratoga Rd
Los Gatos
CA 95030-5317

Ph: (408) 354-3587

NPI Details:

NPI Number1033282892
Provider Enumeration Date11/17/2006
Last Update Date07/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID8527066703
Medicare Enrollment IDO20061122000382

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Medical Identifiers

Medical identifiers for Eternal Beauty Medical Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033282892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care A063086 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eternal Beauty Medical Clinic, Inc acts as a billing entity for following providers:
Provider NameForouzan Vaghar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578671905
PECOS PAC ID: 2860450806
Enrollment ID: I20041222000448

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