Paul Maistros, M.d.,inc. | |
11160 Warner Avenue Suite 121 Fountain Valley CA 92708 | |
(714) 437-1246 | |
(714) 437-1354 |
Full Name | Paul Maistros, M.d.,inc. |
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Speciality | Psychiatry & Neurology |
Location | 11160 Warner Avenue, Fountain Valley, California |
Authorized Official Name and Position | Susan Ortiz (OFFICE MANAGER) |
Authorized Official Contact | 7144371246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paul Maistros, M.d.,inc. P.o. Box 20139 Fountain Valley CA 92708 Ph: (714) 437-1246 | Paul Maistros, M.d.,inc. 11160 Warner Avenue Suite 121 Fountain Valley CA 92708 Ph: (714) 437-1246 |
NPI Number | 1932382553 |
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Provider Enumeration Date | 12/06/2007 |
Last Update Date | 12/06/2007 |
Medicare PECOS PAC ID | 7113090564 |
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Medicare Enrollment ID | O20080718000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932382553 | NPI | - | NPPES |
00A444961 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | A44496 (California) | Primary |
Provider Name | Paul A Maistros |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1275532301 PECOS PAC ID: 1759373350 Enrollment ID: I20040401001836 |
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