| Anaheim Cardiology Medical Group, Inc | |
|
1735 W. Romneya Dr. Anaheim CA 92801 | |
| (714) 776-5920 | |
| (714) 776-3407 |
| Full Name | Anaheim Cardiology Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1735 W. Romneya Dr., Anaheim, California |
| Authorized Official Name and Position | Reza Talebi Dolouei (PRESIDENT) |
| Authorized Official Contact | 7147765920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaheim Cardiology Medical Group, Inc 1735 W. Romneya Dr. Anaheim CA 92801 Ph: (714) 776-5920 | Anaheim Cardiology Medical Group, Inc 1735 W. Romneya Dr. Anaheim CA 92801 Ph: (714) 776-5920 |
| NPI Number | 1093800617 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/20/2020 |
| Medicare PECOS PAC ID | 6507893963 |
|---|---|
| Medicare Enrollment ID | O20050718000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093800617 | NPI | - | NPPES |
| ZZZ49453Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Reza Talebi Dolouei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639431836 PECOS PAC ID: 6507167053 Enrollment ID: I20160908001938 |
| Provider Name | Jinkee Marie Lunar Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841057692 PECOS PAC ID: 7911349493 Enrollment ID: I20240530002968 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
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Anaheim Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 Fax: 714-484-1358 | |
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