| Care Connectors Medical Group Inc | |
|
4695 Macarthur Ct # 1112a Newport Beach CA 92660-1882 | |
| (949) 642-5513 | |
| (949) 642-9479 |
| Full Name | Care Connectors Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4695 Macarthur Ct # 1112a, Newport Beach, California |
| Authorized Official Name and Position | Vinod Tony Kannarkat (OWNER) |
| Authorized Official Contact | 9496425513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Connectors Medical Group Inc 4695 Macarthur Ct # 1112a Newport Beach CA 92660-1882 Ph: (949) 642-5513 | Care Connectors Medical Group Inc 4695 Macarthur Ct # 1112a Newport Beach CA 92660-1882 Ph: (949) 642-5513 |
| NPI Number | 1902386642 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 0143685461 |
|---|---|
| Medicare Enrollment ID | O20230420000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902386642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (California) | Secondary |
| Provider Name | Vinod Tony Kannarkat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891966412 PECOS PAC ID: 5991929648 Enrollment ID: I20140702000443 |
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