| Digestive Disease Consultants Of Orange County Inc | |
|
113 Waterworks Way Suite 155 Irvine CA 92618-3167 | |
| (949) 612-9090 | |
| (949) 612-9091 |
| Full Name | Digestive Disease Consultants Of Orange County Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 113 Waterworks Way, Irvine, California |
| Authorized Official Name and Position | Paul S Lee (OWNER) |
| Authorized Official Contact | 9496129090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Consultants Of Orange County Inc Po Box 53366 Irvine CA 92619-3366 Ph: (949) 612-9090 | Digestive Disease Consultants Of Orange County Inc 113 Waterworks Way Suite 155 Irvine CA 92618-3167 Ph: (949) 612-9090 |
| NPI Number | 1780843458 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 7810057106 |
|---|---|
| Medicare Enrollment ID | O20090311000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780843458 | NPI | - | NPPES |
| B836611 | Other | CA | KAISER NATIONAL USER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A79889 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| Provider Name | Shahrooz Bemanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629123070 PECOS PAC ID: 8224076435 Enrollment ID: I20050419000857 |
| Provider Name | Khodadad Mehraein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316147374 PECOS PAC ID: 6002902236 Enrollment ID: I20071018000460 |
| Provider Name | Paul S Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760531693 PECOS PAC ID: 7315917903 Enrollment ID: I20090311000556 |
| Provider Name | Victor Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235205477 PECOS PAC ID: 6204969389 Enrollment ID: I20100727000851 |
| Provider Name | Matthew J Oman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548461155 PECOS PAC ID: 3476780230 Enrollment ID: I20131226001052 |
| Provider Name | David Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922490044 PECOS PAC ID: 4385937200 Enrollment ID: I20190128001779 |
| Provider Name | Heba Ashraf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720492267 PECOS PAC ID: 7719251107 Enrollment ID: I20220707003549 |
| Provider Name | Grace Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740994797 PECOS PAC ID: 7214301233 Enrollment ID: I20230314002927 |
| Provider Name | Khatere Naderi-ashour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295446078 PECOS PAC ID: 0446694616 Enrollment ID: I20240215001010 |
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