Ana C Fajardo M D Inc | |
845 E Chapman Ave Orange CA 92866-1622 | |
(714) 633-3777 | |
(714) 289-7062 |
Full Name | Ana C Fajardo M D Inc |
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Speciality | Family Medicine |
Location | 845 E Chapman Ave, Orange, California |
Authorized Official Name and Position | Ana C Fajardo (OWNER) |
Authorized Official Contact | 7146333777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ana C Fajardo M D Inc 845 E Chapman Ave Orange CA 92866-1622 Ph: (714) 633-3777 | Ana C Fajardo M D Inc 845 E Chapman Ave Orange CA 92866-1622 Ph: (714) 633-3777 |
NPI Number | 1518260140 |
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Provider Enumeration Date | 12/21/2010 |
Last Update Date | 03/08/2011 |
Medicare PECOS PAC ID | 9638351851 |
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Medicare Enrollment ID | O20110309000838 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518260140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A73895 (California) | Primary |
Provider Name | Ana C Fajardo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154498798 PECOS PAC ID: 7618159831 Enrollment ID: I20110309000873 |
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