| Hamid R.salehi Md A Professional Medical Corp | |
|
26691 Plaza Suite 235 Mission Viejo CA 92691-6329 | |
| (949) 364-9054 | |
| (949) 364-6171 |
| Full Name | Hamid R.salehi Md A Professional Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26691 Plaza, Mission Viejo, California |
| Authorized Official Name and Position | Ruth E Eastham (MGR) |
| Authorized Official Contact | 9493649057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamid R.salehi Md A Professional Medical Corp 26691 Plaza Suite 235 Mission Viejo CA 92691-6329 Ph: (949) 364-9054 | Hamid R.salehi Md A Professional Medical Corp 26691 Plaza Suite 235 Mission Viejo CA 92691-6329 Ph: (949) 364-9054 |
| NPI Number | 1225279532 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5496809691 |
|---|---|
| Medicare Enrollment ID | O20090824000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225279532 | NPI | - | NPPES |
| 1992733257 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A87146 (California) | Primary |
| Provider Name | Hamid Salehi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992733257 PECOS PAC ID: 8820021074 Enrollment ID: I20050916000971 |
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