| Evagelos Coskinas Md A Medical Corporation | |
|
301 Victoria St Costa Mesa CA 92627-1995 | |
| (949) 500-5108 | |
| (951) 244-0747 |
| Full Name | Evagelos Coskinas Md A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 Victoria St, Costa Mesa, California |
| Authorized Official Name and Position | Evagelos Coskinas (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 9495005108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evagelos Coskinas Md A Medical Corporation 31103 Rancho Viejo Rd Ste D3319 San Juan Capistrano CA 92675-1759 Ph: (951) 244-4147 | Evagelos Coskinas Md A Medical Corporation 301 Victoria St Costa Mesa CA 92627-1995 Ph: (949) 500-5108 |
| NPI Number | 1053029918 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 6103357439 |
|---|---|
| Medicare Enrollment ID | O20240927000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053029918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Evagelos Coskinas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437382314 PECOS PAC ID: 2163563206 Enrollment ID: I20100111000724 |
| Provider Name | Monique Renee Sinclare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710521646 PECOS PAC ID: 2769898857 Enrollment ID: I20210316001172 |
| Provider Name | Marina Evie Coskinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407682875 PECOS PAC ID: 1658804018 Enrollment ID: I20241024001475 |
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