| Infectious Disease Associates Of Orange County, Inc. | |
|
999 N Tustin Ave Ste 109 Santa Ana CA 92705-6501 | |
| (714) 664-0045 | |
| (714) 664-0049 |
| Full Name | Infectious Disease Associates Of Orange County, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 999 N Tustin Ave Ste 109, Santa Ana, California |
| Authorized Official Name and Position | Tuan V Ta (OWNER) |
| Authorized Official Contact | 7146640045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Of Orange County, Inc. 2321 E 4th Street Suite C #637 Santa Ana CA 92705-3606 Ph: (714) 664-0045 | Infectious Disease Associates Of Orange County, Inc. 999 N Tustin Ave Ste 109 Santa Ana CA 92705-6501 Ph: (714) 664-0045 |
| NPI Number | 1326403130 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 06/07/2021 |
| Medicare PECOS PAC ID | 9234432915 |
|---|---|
| Medicare Enrollment ID | O20160129002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326403130 | NPI | - | NPPES |
| 1326403130 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Tuan V Ta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114103124 PECOS PAC ID: 8022173004 Enrollment ID: I20090209000444 |
| Provider Name | Melissa K King |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417052341 PECOS PAC ID: 4082760160 Enrollment ID: I20090914000756 |
| Provider Name | Puneet Chahal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811155476 PECOS PAC ID: 5193863421 Enrollment ID: I20091106000355 |
| Provider Name | Thao Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255793840 PECOS PAC ID: 3678850575 Enrollment ID: I20170502001767 |
| Provider Name | Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376060319 PECOS PAC ID: 0446518344 Enrollment ID: I20171226001308 |
| Provider Name | Roma Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740523406 PECOS PAC ID: 1759646474 Enrollment ID: I20180530002770 |
| Provider Name | Marianne Garcia Go-wheeler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740627280 PECOS PAC ID: 5799036463 Enrollment ID: I20180919000457 |
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