| Geridocs Medical Group,inc | |
|
2621 S Bristol St Ste 203 Santa Ana CA 92704-5700 | |
| (714) 662-2256 | |
| (714) 662-0178 |
| Full Name | Geridocs Medical Group,inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2621 S Bristol St Ste 203, Santa Ana, California |
| Authorized Official Name and Position | Allen Chinpin Chou (PRESIDENT) |
| Authorized Official Contact | 7146622256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geridocs Medical Group,inc 2621 S Bristol St Ste 203 Santa Ana CA 92704-5700 Ph: (714) 662-2256 | Geridocs Medical Group,inc 2621 S Bristol St Ste 203 Santa Ana CA 92704-5700 Ph: (714) 662-2256 |
| NPI Number | 1881793362 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881793362 | NPI | - | NPPES |
| GR0093350 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A36505 (California) | Primary |
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