| Katherine Manasson M.d., Inc. | |
|
26732 Crown Valley Pkwy Suite 507 Mission Viejo CA 92691-6306 | |
| (949) 348-1086 | |
| (949) 348-1087 |
| Full Name | Katherine Manasson M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 26732 Crown Valley Pkwy, Mission Viejo, California |
| Authorized Official Name and Position | Katherine Manasson (PRESIDENT) |
| Authorized Official Contact | 9497517604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Manasson M.d., Inc. 54 Coral Lk Irvine CA 92614-5443 Ph: (949) 751-7604 | Katherine Manasson M.d., Inc. 26732 Crown Valley Pkwy Suite 507 Mission Viejo CA 92691-6306 Ph: (949) 348-1086 |
| NPI Number | 1356392575 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 03/20/2008 |
| Medicare PECOS PAC ID | 8628071271 |
|---|---|
| Medicare Enrollment ID | O20060821000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356392575 | NPI | - | NPPES |
| W19900 | Other | CA | MEDICARE PTAN |
| 00A615940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A61594 (California) | Primary |
| Provider Name | Katherine Manasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538178611 PECOS PAC ID: 9931013901 Enrollment ID: I20031113000822 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |