| Aliso Viejo Family Medicine P C | |
|
24801 Alicia Pkwy Suite C Laguna Hills CA 92653-4654 | |
| (949) 425-0321 | |
| (949) 425-1204 |
| Full Name | Aliso Viejo Family Medicine P C |
|---|---|
| Speciality | Family Medicine |
| Location | 24801 Alicia Pkwy, Laguna Hills, California |
| Authorized Official Name and Position | Henry Leung (PRESIDENT) |
| Authorized Official Contact | 9494250321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aliso Viejo Family Medicine P C 24801 Alicia Pkwy Suite C Laguna Hills CA 92653-4654 Ph: (949) 425-0321 | Aliso Viejo Family Medicine P C 24801 Alicia Pkwy Suite C Laguna Hills CA 92653-4654 Ph: (949) 425-0321 |
| NPI Number | 1770537458 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/10/2014 |
| Medicare PECOS PAC ID | 0547363343 |
|---|---|
| Medicare Enrollment ID | O20070315000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770537458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry Leung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881662690 PECOS PAC ID: 1951321181 Enrollment ID: I20051201000844 |
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