| Mediverse Medical Network | |
|
1910 S Union St Unit 1082 Anaheim CA 92805-7430 | |
| (818) 626-4883 | |
| Not Available |
| Full Name | Mediverse Medical Network |
|---|---|
| Speciality | General Practice |
| Location | 1910 S Union St Unit 1082, Anaheim, California |
| Authorized Official Name and Position | Cristina Enriquez (PRESIDENT) |
| Authorized Official Contact | 8186264883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediverse Medical Network 1910 S Union St Unit 1082 Anaheim CA 92805-7430 Ph: (818) 626-4883 | Mediverse Medical Network 1910 S Union St Unit 1082 Anaheim CA 92805-7430 Ph: (818) 626-4883 |
| NPI Number | 1487386488 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487386488 | NPI | - | NPPES |
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