John P Meehan Iii, MD | |
27231 La Paz Rd, # A, Laguna Niguel, CA 92677-3627 | |
(949) 643-9111 | |
(949) 643-8916 |
Full Name | John P Meehan Iii |
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Gender | Male |
Speciality | General Practice |
Location | 27231 La Paz Rd, Laguna Niguel, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992778989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | G39663 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
John P Meehan Iii, MD 26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330 Ph: (949) 282-1671 | John P Meehan Iii, MD 27231 La Paz Rd, # A, Laguna Niguel, CA 92677-3627 Ph: (949) 643-9111 |
Sheila Elizabeth Roberts, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 31 Ashburton Place, Laguna Niguel, CA 92677 Phone: 949-661-3828 | |
Michael Anthony Cerni, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4 Cavalier, Laguna Niguel, CA 92677 Phone: 949-637-2072 | |
Dr. John Keichi Sakakura, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 30025 Alicia Pkwy # 664, Laguna Niguel, CA 92677 Phone: 714-794-2749 | |
Dr. Jyotinkumar K Patel, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 30281 Golden Lantern, Laguna Niguel, CA 92677 Phone: 949-495-7144 Fax: 949-495-0270 | |
Mr. Homayoon John Ganji, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 31662 Isle Vista, Laguna Niguel, CA 92677 Phone: 949-280-3120 |