Angel Fullerton Medical Group in Fullerton, CA

Angel Fullerton Medical Group is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Fullerton, California. The current practice location for Angel Fullerton Medical Group is 1125 W Orangethorpe Ave, Fullerton, California. For appointments, you can reach them via phone at (714) 870-1888. The mailing address for Angel Fullerton Medical Group is 1125 W Orangethorpe Ave, Fullerton, California and phone number is (714) 870-1888.

Angel Fullerton Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1689271389. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 870-1888.

Contact Information

	Angel Fullerton Medical Group
	1125 W Orangethorpe Ave Fullerton CA 92833-4735
	(714) 870-1888
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Angel Fullerton Medical Group
Speciality	Clinic/Center
Location	1125 W Orangethorpe Ave, Fullerton, California
Authorized Official Name and Position	Gerardo Canchola (MEDICAL DIRECTOR)
Authorized Official Contact	7146627710
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angel Fullerton Medical Group 1125 W Orangethorpe Ave Fullerton CA 92833-4735 Ph: (714) 870-1888	Angel Fullerton Medical Group 1125 W Orangethorpe Ave Fullerton CA 92833-4735 Ph: (714) 870-1888

NPI Details:

NPI Number	1689271389
Provider Enumeration Date	10/06/2020
Last Update Date	10/06/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	8022419126
Medicare Enrollment ID	O20210722000425

Medical Identifiers

Medical identifiers for Angel Fullerton Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689271389	NPI	-	NPPES
1639185879	Other	CA	GENERAL PRACTICE
1720399843	Other	CA	GENERAL PRACTICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Angel Fullerton Medical Group acts as a billing entity for following providers:

Provider Name	Gerardo Canchola
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1639185879 PECOS PAC ID: 0547210643 Enrollment ID: I20100628000844

Reviews and Comments

Clinic/Center in Fullerton, CA

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Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Starbuck St Ste C, Fullerton, CA 92833 Phone: 714-869-3919 Fax: 714-869-3906
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 N Harbor Blvd, Suite 3200, Fullerton, CA 92835 Phone: 714-446-5101

Angel Fullerton Medical Group - Medicare Primary Care in Fullerton, CA