| A Professional Corporation | |
|
11100 Warner Ave Suite 154 Fountain Valley CA 92708-7506 | |
| (714) 754-0100 | |
| (714) 754-6806 |
| Full Name | A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 11100 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Kathryn Rubio Rigonan (PRESIDENT) |
| Authorized Official Contact | 7147540100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Professional Corporation 11100 Warner Ave Suite 154 Fountain Valley CA 92708-7506 Ph: (714) 754-0100 | A Professional Corporation 11100 Warner Ave Suite 154 Fountain Valley CA 92708-7506 Ph: (714) 754-0100 |
| NPI Number | 1356581847 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 06/08/2010 |
| Medicare PECOS PAC ID | 6204965569 |
|---|---|
| Medicare Enrollment ID | O20100525000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356581847 | NPI | - | NPPES |
| 1336234210 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51220 (California) | Primary |
| Provider Name | Kathryn R Rigonan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336234210 PECOS PAC ID: 7416087861 Enrollment ID: I20100610000654 |
Citrus Medical Clinic Professional Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10900 Warner Ave Ste 111, Fountain Valley, CA 92708 Phone: 714-369-2554 | |
Dalilah Restrepo Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 917-376-0967 | |
John Wang, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11160 Warner Ave, Ste 405, Fountain Valley, CA 92708 Phone: 714-263-0923 Fax: 714-263-0924 | |
Regenerative Optimum Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave, Suite 257, Fountain Valley, CA 92708 Phone: 714-885-8980 Fax: 714-434-0790 | |
Valley View Comprehensive Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17220 Newhope St Ste 125-126, Fountain Valley, CA 92708 Phone: 562-412-8863 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave Ste 353, Fountain Valley, CA 92708 Phone: 714-406-0185 Fax: 310-763-7573 | |
Ky T. Vu, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17150 Euclid St Ste 200, Fountain Valley, CA 92708 Phone: 714-501-5798 Fax: 714-908-8120 |