| Joanna Kopacz, Md Inc. | |
|
24411 Health Center Dr Ste 560 Laguna Hills CA 92653-3687 | |
| (949) 218-7251 | |
| Not Available |
| Full Name | Joanna Kopacz, Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 24411 Health Center Dr Ste 560, Laguna Hills, California |
| Authorized Official Name and Position | Joanna Kopacz (PRESIDENT) |
| Authorized Official Contact | 9492187251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Kopacz, Md Inc. Po Box 29491 Saint Louis MO 63126-7491 Ph: () - | Joanna Kopacz, Md Inc. 24411 Health Center Dr Ste 560 Laguna Hills CA 92653-3687 Ph: (949) 218-7251 |
| NPI Number | 1851753701 |
|---|---|
| Provider Enumeration Date | 03/21/2016 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 8921398694 |
|---|---|
| Medicare Enrollment ID | O20160608001668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851753701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Joanna Kopacz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275792368 PECOS PAC ID: 1355515669 Enrollment ID: I20140723001428 |
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