Sydea Medical Practice Inc | |
20311 Sw Birch St Suite 100 Newport Beach CA 92660-1777 | |
(949) 345-5990 | |
(949) 861-6514 |
Full Name | Sydea Medical Practice Inc |
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Speciality | Psychiatry & Neurology |
Location | 20311 Sw Birch St, Newport Beach, California |
Authorized Official Name and Position | Venice Sanchez (OWNER) |
Authorized Official Contact | 9493455990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sydea Medical Practice Inc 20311 Sw Birch St Suite 100 Newport Beach CA 92660-1777 Ph: (949) 345-5990 | Sydea Medical Practice Inc 20311 Sw Birch St Suite 100 Newport Beach CA 92660-1777 Ph: (949) 345-5990 |
NPI Number | 1528448214 |
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Provider Enumeration Date | 06/08/2015 |
Last Update Date | 11/19/2015 |
Medicare PECOS PAC ID | 0840502688 |
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Medicare Enrollment ID | O20150707002980 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528448214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 115232 (California) | Primary |
Provider Name | Venice L Sanchez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609004837 PECOS PAC ID: 1759693591 Enrollment ID: I20150714000424 |
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