Kraetzer Shokoohy Healthcare is a
Family Medicine based in Fountain Valley, California. Kraetzer Shokoohy Healthcare is licensed to practice in California (license number A93966) and their current practice location is
18837 Brookhurst St, 106, Fountain Valley, California. It can be reached at their office (for appointments etc.) via phone at
(714) 964-5911.
NPI number for Kraetzer Shokoohy Healthcare is 1861751976 and their current mailing address is 15550 Rockfield Blvd, B220, Irvine, California. Kraetzer Shokoohy Healthcare
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861751976.
Healthcare Provider's Profile
Full Name | Kraetzer Shokoohy Healthcare |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 18837 Brookhurst St, Fountain Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861751976
- Provider Enumeration Date: 05/09/2012
- Last Update Date: 05/09/2012
Medical Identifiers
Medical identifiers for Kraetzer Shokoohy Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861751976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC21027 (California) | Secondary |
207Q00000X | Family Medicine | A93966 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kraetzer Shokoohy Healthcare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kraetzer Shokoohy Healthcare 15550 Rockfield Blvd, B220, Irvine, CA 92618-2720 Ph: (949) 598-9999 | Kraetzer Shokoohy Healthcare 18837 Brookhurst St, 106, Fountain Valley, CA 92708-7301 Ph: (714) 964-5911 |
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