| Nisha Warikoo Md Inc | |
|
301 Victoria St Costa Mesa CA 92627-1995 | |
| (949) 665-0453 | |
| Not Available |
| Full Name | Nisha Warikoo Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 Victoria St, Costa Mesa, California |
| Authorized Official Name and Position | Nisha Warikoo (OWNER) |
| Authorized Official Contact | 9496650453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Warikoo Md Inc 19200 Von Karman Ave Ste 430 Irvine CA 92612-8553 Ph: (949) 665-0453 | Nisha Warikoo Md Inc 301 Victoria St Costa Mesa CA 92627-1995 Ph: (949) 665-0453 |
| NPI Number | 1710506308 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Medicare PECOS PAC ID | 1153703608 |
|---|---|
| Medicare Enrollment ID | O20220801001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710506308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nisha Warikoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306164462 PECOS PAC ID: 4385957943 Enrollment ID: I20150724012429 |
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