Irvine Family Care, Inc | |
2 Osborn St Ste 180 Irvine CA 92604-8676 | |
(949) 417-9820 | |
(949) 417-9830 |
Full Name | Irvine Family Care, Inc |
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Speciality | Family Medicine |
Location | 2 Osborn St Ste 180, Irvine, California |
Authorized Official Name and Position | Ronald Young (PRESIDENT) |
Authorized Official Contact | 9494179820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Irvine Family Care, Inc Po Box 1995 Suisun City CA 94585-4995 Ph: (657) 241-3600 | Irvine Family Care, Inc 2 Osborn St Ste 180 Irvine CA 92604-8676 Ph: (949) 417-9820 |
NPI Number | 1942370432 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 10/31/2023 |
Medicare PECOS PAC ID | 7810090420 |
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Medicare Enrollment ID | O20070319000559 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942370432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
Provider Name | Ronald M Young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740221746 PECOS PAC ID: 9739193210 Enrollment ID: I20060203000610 |
Provider Name | Janet L Goodfellow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407888035 PECOS PAC ID: 2264446608 Enrollment ID: I20060206000513 |
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