| Brea Family Care, A Medical Corporation | |
|
1275 N Rose Dr Ste 130 Placentia CA 92870-3941 | |
| (714) 990-1882 | |
| (714) 990-0826 |
| Full Name | Brea Family Care, A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1275 N Rose Dr, Placentia, California |
| Authorized Official Name and Position | Rasha Soliman (DOCTOR - FAMILY PRACTICE) |
| Authorized Official Contact | 7149901882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brea Family Care, A Medical Corporation 1275 N Rose Dr Ste 130 Placentia CA 92870-3941 Ph: (714) 990-1882 | Brea Family Care, A Medical Corporation 1275 N Rose Dr Ste 130 Placentia CA 92870-3941 Ph: (714) 990-1882 |
| NPI Number | 1841298106 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 5799757126 |
|---|---|
| Medicare Enrollment ID | O20040806001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841298106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A60881 (California) | Primary |
| Provider Name | Shirley H Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568682771 PECOS PAC ID: 9234101668 Enrollment ID: I20040807000191 |
| Provider Name | Rasha Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831319045 PECOS PAC ID: 5597737924 Enrollment ID: I20040807000195 |
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