| 5 Star Medical Inc. | |
|
2230 W Chapman Ave Suite 124 Orange CA 92868-2333 | |
| (714) 926-6900 | |
| (714) 464-4467 |
| Full Name | 5 Star Medical Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2230 W Chapman Ave, Orange, California |
| Authorized Official Name and Position | Donah Bulosan (OWNER) |
| Authorized Official Contact | 7149266900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Star Medical Inc. 8251 La Palma Ave # 240 Buena Park CA 90620-3205 Ph: (714) 926-6900 | 5 Star Medical Inc. 2230 W Chapman Ave Suite 124 Orange CA 92868-2333 Ph: (714) 926-6900 |
| NPI Number | 1528128360 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528128360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A79396 (California) | Primary |
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