Steven D Macina Do A Professional Medical Corporation | |
8201 Newman Ave Suite 200 Huntington Beach CA 92647-7059 | |
(714) 375-5405 | |
(714) 375-5408 |
Full Name | Steven D Macina Do A Professional Medical Corporation |
---|---|
Speciality | Psychiatry & Neurology |
Location | 8201 Newman Ave, Huntington Beach, California |
Authorized Official Name and Position | Steven D Macina (OWNER) |
Authorized Official Contact | 7144844900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Steven D Macina Do A Professional Medical Corporation 25421 Spindlewood Laguna Niguel CA 92677-1901 Ph: (714) 375-2077 | Steven D Macina Do A Professional Medical Corporation 8201 Newman Ave Suite 200 Huntington Beach CA 92647-7059 Ph: (714) 375-5405 |
NPI Number | 1528164332 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 09/28/2009 |
Medicare PECOS PAC ID | 7517036940 |
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Medicare Enrollment ID | O20080527000291 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528164332 | NPI | - | NPPES |
00AX66251 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 20A6625 (California) | Primary |
Provider Name | Steven D Macina |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124130471 PECOS PAC ID: 3779576186 Enrollment ID: I20040402001522 |
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