| Ahmad M Shaban, Md, Inc | |
|
26732 Crown Valley Pkwy Ste 241 Mission Viejo CA 92691 | |
| (949) 364-2611 | |
| (949) 364-0226 |
| Full Name | Ahmad M Shaban, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26732 Crown Valley Pkwy Ste 241, Mission Viejo, California |
| Authorized Official Name and Position | Ahmad Mostafa. Shaban (OWNER) |
| Authorized Official Contact | 9493642611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad M Shaban, Md, Inc Po Box 8223 Pasadena CA 91109-8223 Ph: (949) 364-2611 | Ahmad M Shaban, Md, Inc 26732 Crown Valley Pkwy Ste 241 Mission Viejo CA 92691 Ph: (949) 364-2611 |
| NPI Number | 1609069905 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/30/2018 |
| Medicare PECOS PAC ID | 1355385725 |
|---|---|
| Medicare Enrollment ID | O20050616000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609069905 | NPI | - | NPPES |
| 00A325470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A32547 (California) | Primary |
| Provider Name | Ahmad M Shaban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154413102 PECOS PAC ID: 6800832288 Enrollment ID: I20120223000731 |
| Provider Name | Jin Guo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538375217 PECOS PAC ID: 1254587553 Enrollment ID: I20120801000652 |
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 |