Dalilah Restrepo Md, A Medical Corporation | |
17100 Euclid St Fountain Valley CA 92708 | |
(917) 376-0967 | |
Not Available |
Full Name | Dalilah Restrepo Md, A Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 17100 Euclid St, Fountain Valley, California |
Authorized Official Name and Position | Dalilah Restrepo (PRESIDENT) |
Authorized Official Contact | 9173760967 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dalilah Restrepo Md, A Medical Corporation 3334 E Coast Hwy Ste 655 Corona Del Mar CA 92625-2328 Ph: (917) 376-0967 | Dalilah Restrepo Md, A Medical Corporation 17100 Euclid St Fountain Valley CA 92708 Ph: (917) 376-0967 |
NPI Number | 1013677624 |
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Provider Enumeration Date | 12/22/2021 |
Last Update Date | 12/22/2021 |
Medicare PECOS PAC ID | 3375935851 |
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Medicare Enrollment ID | O20220112002237 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013677624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Dalilah Restrepo |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1396816393 PECOS PAC ID: 3274563937 Enrollment ID: I20220112002280 |
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