MEDICAL CLINIC MANAGEMENT


Address: 1125 E 17th St Ste W237, Santa Ana, CA 92701-2205
Phone: 7146480503

MEDICAL CLINIC MANAGEMENT (NPI# 1861849267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861849267
Entity Type Organization
Organization Name MEDICAL CLINIC MANAGEMENT
Practice Address 1125 E 17th St Ste W237
Santa Ana
CA 92701-2205
Practice Telephone 7146480503
Practice Fax Number 7146480539
Mailing Telephone 7146480503
Mailing Fax Number 7146480539
Enumeration Date 2016-05-16
Last Update Date 2016-05-16
Authorized Official Name RODRIGO COVARRUBIAS (MEDICAL DIRECTOR)
Authorized Official Telephone 7146480503
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 1125 E 17TH ST STE W237
City SANTA ANA
State CA
Zip Code 92701-2205

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1780176537 Diane Carol Navarro-prescott Counselor 1633 East 4th Street, Santa Ana, CA 92701 2018-06-06
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871083188 Alliance of Latino Health Services Medical Group Inc General Practice 517 N Main St Ste 220, Santa Ana, CA 92701-6703 2018-05-11
1497294243 Integrative Wellness Medical Group, Inc General Practice 1800 N Bush St Ste 102, Santa Ana, CA 92706-4110 2017-02-13
1013454495 Marco M Zahedi M D A Medical Corporation General Practice 1200 N Tustin Ave Ste 120, Santa Ana, CA 92705-6502 2017-01-24
1477988004 Tuan Anh Phan General Practice 1405 N Bristol St, Santa Ana, CA 92706-3303 2013-09-13
1972825305 San Antonio Medical Center Inc. General Practice 610 W. 17th Street, Santa Ana, CA 92706 2010-02-26
1316194418 David Paul Quintero General Practice 1710 E 17th St Ste B, Santa Ana, CA 92705-8622 2008-08-20
1710146295 Sunita Lohiya General Practice 1120 W Warner, #a, Santa Ana, CA 92799-6098 2008-06-09
1356427595 Geoffrey David Furman General Practice 801 N Tustin Ave Ste 602, Santa Ana, CA 92705-3610 2006-10-31
1174612279 Joseph Anthony Serna General Practice 2620 S Bristol St Ste B, Santa Ana, CA 92704-5727 2006-10-12
1548367436 Lucy Mayela Saenz General Practice 1215 E 17th Street, Santa Ana, CA 92701-2640 2006-09-20
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Competitor

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City SANTA ANA
Zip Code 92701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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