San Antonio Medical Center Inc. | |
610 W. 17th Street Santa Ana CA 92706 | |
(714) 541-4090 | |
(714) 541-8815 |
Full Name | San Antonio Medical Center Inc. |
---|---|
Speciality | General Practice |
Location | 610 W. 17th Street, Santa Ana, California |
Authorized Official Name and Position | Ihsan Najib Shamaan (MEDICAL DIRECTOR/OWNER) |
Authorized Official Contact | 7145414090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Antonio Medical Center Inc. P.o. Box 6098 Santa Ana CA 92706 Ph: (714) 541-4090 | San Antonio Medical Center Inc. 610 W. 17th Street Santa Ana CA 92706 Ph: (714) 541-4090 |
NPI Number | 1972825305 |
---|---|
Provider Enumeration Date | 02/26/2010 |
Last Update Date | 02/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972825305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A36951 (California) | Primary |
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