Senior Doc Id Medical, Pc | |
2592 N Santiago Blvd Orange CA 92867-1862 | |
(855) 434-7763 | |
(949) 281-5550 |
Full Name | Senior Doc Id Medical, Pc |
---|---|
Speciality | Family Medicine |
Location | 2592 N Santiago Blvd, Orange, California |
Authorized Official Name and Position | John M Geiss (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8554347763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Senior Doc Id Medical, Pc 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 | Senior Doc Id Medical, Pc 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 |
NPI Number | 1407639941 |
---|---|
Provider Enumeration Date | 08/17/2023 |
Last Update Date | 08/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407639941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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