| Central County Chest Medical Group, Inc | |
|
11180 Warner Ave Ste 253 Fountain Valley CA 92708-7515 | |
| (714) 979-2825 | |
| (714) 979-2862 |
| Full Name | Central County Chest Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11180 Warner Ave Ste 253, Fountain Valley, California |
| Authorized Official Name and Position | Mary Aguirre (OFFICE MANAGER) |
| Authorized Official Contact | 7149792825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central County Chest Medical Group, Inc 11180 Warner Ave Ste 253 Fountain Valley CA 92708-7515 Ph: (714) 979-2825 | Central County Chest Medical Group, Inc 11180 Warner Ave Ste 253 Fountain Valley CA 92708-7515 Ph: (714) 979-2825 |
| NPI Number | 1225063340 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/13/2010 |
| Medicare PECOS PAC ID | 0446442032 |
|---|---|
| Medicare Enrollment ID | O20101014001015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225063340 | NPI | - | NPPES |
| A42385 | Other | CA | STATE LIC |
| GR0053330 | Other | CA | CAL-OPTIMA |
| W11174 | Other | CA | MEDICARE GROUP NUMBER |
| ZZZ33736Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| A43693 | Other | CA | STATE LIC |
| Provider Name | Adarsh Mohan Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447293956 PECOS PAC ID: 4688869274 Enrollment ID: I20101109000563 |
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