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25982 Pala Suite 150 Mission Viejo CA 92691-6719 | |
| (949) 586-5500 | |
| (949) 586-1600 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 25982 Pala, Mission Viejo, California |
| Authorized Official Name and Position | Eleonora S Spokoyny (PRESIDENT) |
| Authorized Official Contact | 9495865500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
25982 Pala Suite 150 Mission Viejo CA 92691-6719 Ph: (949) 586-5500 | 25982 Pala Suite 150 Mission Viejo CA 92691-6719 Ph: (949) 586-5500 |
| NPI Number | 1699975227 |
|---|---|
| Provider Enumeration Date | 07/22/2007 |
| Last Update Date | 01/13/2023 |
| Medicare PECOS PAC ID | 5597853267 |
|---|---|
| Medicare Enrollment ID | O20071113000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699975227 | NPI | - | NPPES |
| 00A536624 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A53662 (California) | Primary |
| Provider Name | Eleonora S Spokoyny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649257148 PECOS PAC ID: 0244270593 Enrollment ID: I20050505001256 |
| Provider Name | Samaneh Yousefi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316513674 PECOS PAC ID: 1951792431 Enrollment ID: I20211216000965 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |