| Maged M Estafan Md Inc | |
|
32605 Temecula Pkwy Suite 207 Temecula CA 92592-6837 | |
| (951) 302-7085 | |
| (951) 302-7673 |
| Full Name | Maged M Estafan Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 32605 Temecula Pkwy, Temecula, California |
| Authorized Official Name and Position | Maged M Estafan (OWNER) |
| Authorized Official Contact | 9513027085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maged M Estafan Md Inc 31915 Rancho California Rd Temecula CA 92591-5132 Ph: (951) 302-7085 | Maged M Estafan Md Inc 32605 Temecula Pkwy Suite 207 Temecula CA 92592-6837 Ph: (951) 302-7085 |
| NPI Number | 1912307208 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 02/05/2015 |
| Medicare PECOS PAC ID | 0749506400 |
|---|---|
| Medicare Enrollment ID | O20150224001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912307208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C52942 (California) | Primary |
| Provider Name | Maged M Estafan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508942053 PECOS PAC ID: 1153322128 Enrollment ID: I20090216000032 |
| Provider Name | Rebecca Cravens Saville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053829283 PECOS PAC ID: 9830520683 Enrollment ID: I20200511001787 |
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