| Jose Mayorga, M.d., Inc. | |
|
2216 Newport Blvd Costa Mesa CA 92627-1711 | |
| (949) 631-9009 | |
| (949) 631-1984 |
| Full Name | Jose Mayorga, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2216 Newport Blvd, Costa Mesa, California |
| Authorized Official Name and Position | Jose Mayorga (PRESIDENT) |
| Authorized Official Contact | 9496319009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Mayorga, M.d., Inc. 2216 Newport Blvd Costa Mesa CA 92627-1711 Ph: (949) 631-9009 | Jose Mayorga, M.d., Inc. 2216 Newport Blvd Costa Mesa CA 92627-1711 Ph: (949) 631-9009 |
| NPI Number | 1992017065 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 07/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992017065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A97237 (California) | Primary |
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