| Advanced Endocrine Care | |
|
1314 S Euclid St Ste 103 Anaheim CA 92802-2000 | |
| (562) 719-4699 | |
| Not Available |
| Full Name | Advanced Endocrine Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1314 S Euclid St Ste 103, Anaheim, California |
| Authorized Official Name and Position | Phong Mac (PRESIDENT) |
| Authorized Official Contact | 5627194699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endocrine Care Po Box 9576 Anaheim CA 92812 Ph: () - | Advanced Endocrine Care 1314 S Euclid St Ste 103 Anaheim CA 92802-2000 Ph: (562) 719-4699 |
| NPI Number | 1568787851 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/30/2010 |
| Medicare PECOS PAC ID | 3971790320 |
|---|---|
| Medicare Enrollment ID | O20101210000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568787851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ricky T Mac |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578581666 PECOS PAC ID: 2860485059 Enrollment ID: I20040405000877 |
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