| Alex Dariushnia Md | |
|
2617 E Chapman Ave Ste 108 Orange CA 92869-3241 | |
| (714) 538-4576 | |
| (714) 288-0738 |
| Full Name | Alex Dariushnia Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2617 E Chapman Ave Ste 108, Orange, California |
| Authorized Official Name and Position | Alex Dariushnia (MD OWNER) |
| Authorized Official Contact | 7145384576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Dariushnia Md 2617 E Chapman Ave Ste 108 Orange CA 92869-3241 Ph: (714) 538-4576 | Alex Dariushnia Md 2617 E Chapman Ave Ste 108 Orange CA 92869-3241 Ph: (714) 538-4576 |
| NPI Number | 1669246039 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 1456704105 |
|---|---|
| Medicare Enrollment ID | O20240129003663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669246039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali R Dariushnia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336243385 PECOS PAC ID: 0143345900 Enrollment ID: I20100916000718 |
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