| Advanced Geriatric Care And Family Practice Associates | |
|
23521 Paseo De Valencia Suite 311 Laguna Hills CA 92653-3144 | |
| (949) 305-2660 | |
| Not Available |
| Full Name | Advanced Geriatric Care And Family Practice Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 23521 Paseo De Valencia, Laguna Hills, California |
| Authorized Official Name and Position | Roger Tran (PRESIDENT) |
| Authorized Official Contact | 9493052660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Geriatric Care And Family Practice Associates 23521 Paseo De Valencia Suite 311 Laguna Hills CA 92653-3144 Ph: (949) 305-2660 | Advanced Geriatric Care And Family Practice Associates 23521 Paseo De Valencia Suite 311 Laguna Hills CA 92653-3144 Ph: (949) 305-2660 |
| NPI Number | 1346286721 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 02/06/2015 |
| Medicare PECOS PAC ID | 9234141508 |
|---|---|
| Medicare Enrollment ID | O20060705000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346286721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649234949 PECOS PAC ID: 9234103953 Enrollment ID: I20051128000255 |
| Provider Name | Grace M Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225670565 PECOS PAC ID: 1658792304 Enrollment ID: I20200604000974 |
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