| Saulena Shafer D.o., Inc. | |
|
510 Superior Ave Ste 200a Newport Beach CA 92663-3664 | |
| (951) 203-1823 | |
| Not Available |
| Full Name | Saulena Shafer D.o., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 510 Superior Ave Ste 200a, Newport Beach, California |
| Authorized Official Name and Position | Saulena Sylvia Shafer (OWNER/PRESIDENT) |
| Authorized Official Contact | 9512031823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saulena Shafer D.o., Inc. 3235 Grand Canal Irvine CA 92620-1707 Ph: (951) 203-1823 | Saulena Shafer D.o., Inc. 510 Superior Ave Ste 200a Newport Beach CA 92663-3664 Ph: (951) 203-1823 |
| NPI Number | 1972072999 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 6608113139 |
|---|---|
| Medicare Enrollment ID | O20190122003523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972072999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Saulena S Shafer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336460278 PECOS PAC ID: 7214206390 Enrollment ID: I20190122003539 |
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