Nisha Warikoo Md Inc | |
301 Victoria St Costa Mesa CA 92627-1995 | |
(949) 665-0453 | |
Not Available |
Full Name | Nisha Warikoo Md Inc |
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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 |
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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 |
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Provider Enumeration Date | 04/13/2020 |
Last Update Date | 11/04/2022 |
Certification Date | 11/04/2022 |
Medicare PECOS PAC ID | 1153703608 |
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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 |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306164462 PECOS PAC ID: 4385957943 Enrollment ID: I20150724012429 |
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