Moriah Nicole Marie Edmundson, DO, MS | |
26800 Crown Valley Pkwy Ste 525, Mission Viejo, CA 92691-8029 | |
(949) 364-1040 | |
Not Available |
Full Name | Moriah Nicole Marie Edmundson |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 26800 Crown Valley Pkwy Ste 525, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487195640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20A16984 (California) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
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 |
---|---|
Moriah Nicole Marie Edmundson, DO, MS 26800 Crown Valley Pkwy Ste 525, Mission Viejo, CA 92691-8029 Ph: (949) 364-1040 | Moriah Nicole Marie Edmundson, DO, MS 26800 Crown Valley Pkwy Ste 525, Mission Viejo, CA 92691-8029 Ph: (949) 364-1040 |
Joan T Sasaki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 26691 Plaza, Suite 212, Mission Viejo, CA 92691 Phone: 949-441-5556 Fax: 949-348-2523 | |
Dr. Robert Kessler, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 23436 Villena, Mission Viejo, CA 92692 Phone: 949-215-6098 | |
Scott Edward Capobianco, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691 Phone: 949-364-1040 Fax: 949-365-7037 | |
Craig Allen Salcido, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691 Phone: 949-364-1040 Fax: 949-365-7059 | |
Gloria L Jaucian, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd Ste 214, Mission Viejo, CA 92691 Phone: 949-364-5266 Fax: 949-364-5571 | |
Dr. Laurence Michael Fakinos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Ste. # 260, Mission Viejo, CA 92691 Phone: 949-364-3050 Fax: 949-364-2135 | |
Soodabeh Abravesh, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite #310, Mission Viejo, CA 92691 Phone: 949-218-1100 Fax: 949-218-2323 |