Pedro Jose Postigo, MD | |
675 Camino De Los Mares Ste 200, San Clemente, CA 92673-2836 | |
(949) 542-8865 | |
Not Available |
Full Name | Pedro Jose Postigo |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 675 Camino De Los Mares Ste 200, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710997838 | NPI | - | NPPES |
00A342560 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A34256 (California) | Primary |
Entity Name | Memorialcare Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
---|---|
Pedro Jose Postigo, MD 17360 Brookhurst St, Attn: Mcmf - Credentialing Department, Fountain Valley, CA 92708-3720 Ph: () - | Pedro Jose Postigo, MD 675 Camino De Los Mares Ste 200, San Clemente, CA 92673-2836 Ph: (949) 542-8865 |
Dr. Martin Arthur Johnson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 224 Avenida Barcelona, San Clemente, CA 92672 Phone: 949-212-9624 | |
Mark S Kosins, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 647 Camino De Los Mares, 226, San Clemente, CA 92673 Phone: 949-489-9898 Fax: 949-489-2569 | |
Dr. Jennifer Hong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 806 Avenida Pico Ste I-330, San Clemente, CA 92673 Phone: 951-289-5424 |