| Ava Medical Corporation | |
|
1329 W Warner Ave Santa Ana CA 92704-5118 | |
| (714) 444-0044 | |
| (714) 444-0043 |
| Full Name | Ava Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1329 W Warner Ave, Santa Ana, California |
| Authorized Official Name and Position | Homa Shoghian-shabanpour (DIRECTOR) |
| Authorized Official Contact | 7144440044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ava Medical Corporation 1329 W Warner Ave Santa Ana CA 92704-5118 Ph: (714) 444-0044 | Ava Medical Corporation 1329 W Warner Ave Santa Ana CA 92704-5118 Ph: (714) 444-0044 |
| NPI Number | 1689846503 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689846503 | NPI | - | NPPES |
| A80009 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A80009 (California) | Primary |
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