| Don Son, Md, Inc. | |
|
408 S Beach Blvd Ste 206 Anaheim CA 92804-1853 | |
| (714) 527-2240 | |
| (714) 527-2328 |
| Full Name | Don Son, Md, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 S Beach Blvd Ste 206, Anaheim, California |
| Authorized Official Name and Position | Don Dongsoo Son (PRESIDENT) |
| Authorized Official Contact | 7145272240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Don Son, Md, Inc. 408 S Beach Blvd Suite 204 Anaheim CA 92804-1878 Ph: (714) 527-2240 | Don Son, Md, Inc. 408 S Beach Blvd Ste 206 Anaheim CA 92804-1853 Ph: (714) 527-2240 |
| NPI Number | 1629332614 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 5092970384 |
|---|---|
| Medicare Enrollment ID | O20120712000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629332614 | NPI | - | NPPES |
| 6977240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A121306 (California) | Primary |
| Provider Name | Don D Son |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558564898 PECOS PAC ID: 0749335461 Enrollment ID: I20120712000508 |
| Provider Name | Ji Hye Whang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093358533 PECOS PAC ID: 0345602009 Enrollment ID: I20230811000687 |
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