| Gary L. Sugarman,m.d.,inc. | |
|
25411 Cabot Rd Suite 105 Laguna Hills CA 92653-5520 | |
| (949) 829-9333 | |
| (949) 829-9210 |
| Full Name | Gary L. Sugarman,m.d.,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 25411 Cabot Rd, Laguna Hills, California |
| Authorized Official Name and Position | Gary Louis Sugarman (PRESIDENT) |
| Authorized Official Contact | 9498299333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L. Sugarman,m.d.,inc. 25411 Cabot Rd Suite 105 Laguna Hills CA 92653-5520 Ph: (949) 829-9333 | Gary L. Sugarman,m.d.,inc. 25411 Cabot Rd Suite 105 Laguna Hills CA 92653-5520 Ph: (949) 829-9333 |
| NPI Number | 1295818565 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 03/19/2008 |
| Medicare PECOS PAC ID | 1658657465 |
|---|---|
| Medicare Enrollment ID | O20170410002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295818565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G81230 (California) | Primary |
| Provider Name | Gary L Sugarman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942383203 PECOS PAC ID: 7113194556 Enrollment ID: I20120501000365 |
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