| Innovi Healthcare Inc. | |
|
11220 Amberdale Dr Tustin CA 92782-4329 | |
| (949) 336-1875 | |
| (844) 946-0854 |
| Full Name | Innovi Healthcare Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11220 Amberdale Dr, Tustin, California |
| Authorized Official Name and Position | Mariam S Hasan (CEO) |
| Authorized Official Contact | 4085643492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovi Healthcare Inc. 11220 Amberdale Dr Tustin CA 92782-4329 Ph: (949) 336-1875 | Innovi Healthcare Inc. 11220 Amberdale Dr Tustin CA 92782-4329 Ph: (949) 336-1875 |
| NPI Number | 1528689965 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 6103248901 |
|---|---|
| Medicare Enrollment ID | O20200624002413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528689965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariam Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851604847 PECOS PAC ID: 7517109127 Enrollment ID: I20130812000306 |
| Provider Name | Mariles C Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750717211 PECOS PAC ID: 9638489644 Enrollment ID: I20151103002459 |
Families Together Of Orange County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Tariq Ali Khan Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave, Suite 408, Tustin, CA 92780 Phone: 657-218-9859 Fax: 657-218-4023 | |
Redhill Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1442 Irvine Blvd Ste 101, Tustin, CA 92780 Phone: 714-544-5007 | |
Prospice Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14742 Newport Avenue, Suite 203, Tustin, CA 92780 Phone: 949-825-6416 Fax: 951-537-6931 | |
Lin Wu Dba Oc Health Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 El Camino Real, Suite 100, Tustin, CA 92780 Phone: 949-228-8028 Fax: 949-438-0559 | |
Charles Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Ave Ste 105, Tustin, CA 92780 Phone: 951-801-5566 Fax: 714-486-2309 | |
Assist Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Warner Ave Ste A, Tustin, CA 92780 Phone: 509-945-9977 Fax: 509-873-0049 |