| Carmen Terreros Md Inc | |
|
801 North Tustin Avenue Suite 607 Santa Ana CA 92705-3610 | |
| (714) 541-4145 | |
| (714) 541-5862 |
| Full Name | Carmen Terreros Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 North Tustin Avenue, Santa Ana, California |
| Authorized Official Name and Position | Carmen E Terreros (DIRECTOR) |
| Authorized Official Contact | 7145414145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Terreros Md Inc 801 N Tustin Suite 607 Santa Ana CA 92705-3610 Ph: (714) 541-4145 | Carmen Terreros Md Inc 801 North Tustin Avenue Suite 607 Santa Ana CA 92705-3610 Ph: (714) 541-4145 |
| NPI Number | 1275649642 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133173321 |
|---|---|
| Medicare Enrollment ID | O20050310000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275649642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A70383 (California) | Primary |
| Provider Name | Carmen E Terreros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093975229 PECOS PAC ID: 2668426859 Enrollment ID: I20050311000336 |
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