Golden Coast Aesthetic And Concierge Medicine Corp is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in New Port Beach, California. The current practice location for Golden Coast Aesthetic And Concierge Medicine Corp is 20311 Sw Acacia Street Suite 140, New Port Beach, California. For appointments, you can reach them via phone at
(949) 529-2330. The mailing address for Golden Coast Aesthetic And Concierge Medicine Corp is 15642 Sand Canyon Ave Unit 51721, Irvine, California and phone number is (949) 529-2330.
Golden Coast Aesthetic And Concierge Medicine Corp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1528787660. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(949) 529-2330.
Primary Care Clinic Profile
| Full Name | Golden Coast Aesthetic And Concierge Medicine Corp |
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| Speciality | Clinic/Center |
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| Location | 20311 Sw Acacia Street Suite 140, New Port Beach, California |
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| Authorized Official Name and Position | Ghalib Mohammad Wahidi (PRESIDENT) |
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| Authorized Official Contact | 9495292330 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Golden Coast Aesthetic And Concierge Medicine Corp
15642 Sand Canyon Ave Unit 51721
Irvine
CA 92619-5258
Ph: (949) 529-2330 | Golden Coast Aesthetic And Concierge Medicine Corp
20311 Sw Acacia Street Suite 140
New Port Beach
CA 92660
Ph: (949) 529-2330 |
NPI Details:
| NPI Number | 1528787660 |
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| Provider Enumeration Date | 08/23/2022 |
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| Last Update Date | 02/02/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4385020635 |
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| Medicare Enrollment ID | O20221010003139 |
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Medical Identifiers
Medical identifiers for Golden Coast Aesthetic And Concierge Medicine Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528787660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Golden Coast Aesthetic And Concierge Medicine Corp acts as a billing entity for following providers:
| Provider Name | Ghalib M Wahidi |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1053522078
PECOS PAC ID: 2062572951
Enrollment ID: I20081121000642 |
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