| Hal S Shimazu M D Inc | |
|
845 E Chapman Ave Orange CA 92866-1622 | |
| (714) 997-2899 | |
| (714) 289-7062 |
| Full Name | Hal S Shimazu M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 845 E Chapman Ave, Orange, California |
| Authorized Official Name and Position | Hal S Shimazu (OWNER) |
| Authorized Official Contact | 7149972899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hal S Shimazu M D Inc 845 E Chapman Ave Orange CA 92866-1622 Ph: (714) 997-2899 | Hal S Shimazu M D Inc 845 E Chapman Ave Orange CA 92866-1622 Ph: (714) 997-2899 |
| NPI Number | 1689977217 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 0648459941 |
|---|---|
| Medicare Enrollment ID | O20110119000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689977217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G37057 (California) | Primary |
| Provider Name | Hal S Shimazu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073682241 PECOS PAC ID: 6305900507 Enrollment ID: I20090203000540 |
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