| Antonio Carbayo Md A Medical Corporation | |
|
1911 N Broadway Santa Ana CA 92706-2609 | |
| (714) 667-6900 | |
| (714) 667-6116 |
| Full Name | Antonio Carbayo Md A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1911 N Broadway, Santa Ana, California |
| Authorized Official Name and Position | Antonio Carbayo (OWNER) |
| Authorized Official Contact | 7146676900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Carbayo Md A Medical Corporation 1911 N Broadway Santa Ana CA 92706-2609 Ph: (714) 667-6900 | Antonio Carbayo Md A Medical Corporation 1911 N Broadway Santa Ana CA 92706-2609 Ph: (714) 667-6900 |
| NPI Number | 1467725846 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 11/21/2018 |
| Medicare PECOS PAC ID | 3971761131 |
|---|---|
| Medicare Enrollment ID | O20120220001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467725846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G79962 (California) | Primary |
| Provider Name | Antonio Carbayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033149356 PECOS PAC ID: 1052579216 Enrollment ID: I20120220001111 |
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