Organization
MARC H. SHOMER, MD, PHD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC HOWARD SHOMER MD, PHD (CEO)
(909) 636-8586
Entity
Organization
Contact information
Practice address
820 N MOUNTAIN AVE STE 102, UPLAND, CA 91786-4163
(909) 981-9800
(909) 946-3937
Mailing address
PO BOX 1075, DANA POINT, CA 92629-5075
(909) 981-9800
(909) 946-3937
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A95190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CZ142A
MEDICARE PTAN
CA
Enumeration date
02/08/2010
Last updated
02/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us