| Kiet Loc Apc | |
|
24012 Calle De La Plata Suite 150 Laguna Hills CA 92653-3621 | |
| (949) 837-1130 | |
| (949) 581-9189 |
| Full Name | Kiet Loc Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 24012 Calle De La Plata, Laguna Hills, California |
| Authorized Official Name and Position | Kiet Minh Loc (PRESIDENT) |
| Authorized Official Contact | 9498371130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiet Loc Apc 24012 Calle De La Plata Suite 150 Laguna Hills CA 92653-3621 Ph: (949) 837-1130 | Kiet Loc Apc 24012 Calle De La Plata Suite 150 Laguna Hills CA 92653-3621 Ph: (949) 837-1130 |
| NPI Number | 1134586126 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Medicare PECOS PAC ID | 5991009821 |
|---|---|
| Medicare Enrollment ID | O20160212000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134586126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | A119338 (California) | Primary |
| Provider Name | Kiet M Loc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609041581 PECOS PAC ID: 5597992800 Enrollment ID: I20131212000584 |
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