| Irvine Family Practice Medical | |
|
14150 Culver Dr Suite 100 Irvine CA 92604-0315 | |
| (949) 552-4584 | |
| (949) 551-5612 |
| Full Name | Irvine Family Practice Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 14150 Culver Dr, Irvine, California |
| Authorized Official Name and Position | Benjamin Goelman (CEO) |
| Authorized Official Contact | 9495524584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Family Practice Medical 14150 Culver Drive Suite 100 Irvine CA 92604 Ph: (949) 552-4584 | Irvine Family Practice Medical 14150 Culver Dr Suite 100 Irvine CA 92604-0315 Ph: (949) 552-4584 |
| NPI Number | 1902089808 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0840234555 |
|---|---|
| Medicare Enrollment ID | O20050614000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902089808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Mina Abazari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417012444 PECOS PAC ID: 4688588890 Enrollment ID: I20031112000795 |
| Provider Name | Benjamin Goelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811915564 PECOS PAC ID: 5395870331 Enrollment ID: I20100330000988 |
| Provider Name | Carmela Yacoob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508884263 PECOS PAC ID: 8628105244 Enrollment ID: I20100429000787 |
| Provider Name | Richard Baick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740208495 PECOS PAC ID: 5294860235 Enrollment ID: I20100503000451 |
| Provider Name | David Ross Paskil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942228697 PECOS PAC ID: 8022143064 Enrollment ID: I20100504000321 |
| Provider Name | Antoine Mourra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447278296 PECOS PAC ID: 1759416795 Enrollment ID: I20100510000535 |
| Provider Name | Caithness Amy Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346576469 PECOS PAC ID: 6709914435 Enrollment ID: I20100517000517 |
| Provider Name | James Feld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942228630 PECOS PAC ID: 2769517705 Enrollment ID: I20100601000129 |
| Provider Name | Miles Merwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588702286 PECOS PAC ID: 6305009168 Enrollment ID: I20120515000642 |
| Provider Name | Stacy L Chia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780873562 PECOS PAC ID: 0648426353 Enrollment ID: I20120813000629 |
| Provider Name | Yeral Patel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134486921 PECOS PAC ID: 7719111459 Enrollment ID: I20131010002094 |
| Provider Name | Yujie Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851732846 PECOS PAC ID: 9638437973 Enrollment ID: I20171214002615 |
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