Julie Copon, Do Inc | |
17822 Beach Blvd. 225 Huntington Beach CA 92647-7190 | |
(714) 848-5240 | |
(714) 848-5260 |
Full Name | Julie Copon, Do Inc |
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Speciality | Internal Medicine |
Location | 17822 Beach Blvd., Huntington Beach, California |
Authorized Official Name and Position | Julie Copon (PROVIDER) |
Authorized Official Contact | 7148485240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Julie Copon, Do Inc 17822 Beach Blvd. 225 Huntington Beach CA 92647-7190 Ph: (714) 848-5240 | Julie Copon, Do Inc 17822 Beach Blvd. 225 Huntington Beach CA 92647-7190 Ph: (714) 848-5240 |
NPI Number | 1649231531 |
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Provider Enumeration Date | 03/30/2006 |
Last Update Date | 11/06/2012 |
Medicare PECOS PAC ID | 2668430885 |
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Medicare Enrollment ID | O20041220001026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649231531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A6054 (California) | Primary |
Provider Name | Julie V Copon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578568564 PECOS PAC ID: 0941260806 Enrollment ID: I20041014000795 |
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