| Kelly K Mccann Md Inc | |
|
1831 Orange Ave Ste C Costa Mesa CA 92627-2839 | |
| (949) 574-5800 | |
| (949) 612-2725 |
| Full Name | Kelly K Mccann Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1831 Orange Ave Ste C, Costa Mesa, California |
| Authorized Official Name and Position | Kelly K Mccann (MD) |
| Authorized Official Contact | 9495745800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly K Mccann Md Inc 1831 Orange Ave Ste C Costa Mesa CA 92627-2839 Ph: (949) 574-5800 | Kelly K Mccann Md Inc 1831 Orange Ave Ste C Costa Mesa CA 92627-2839 Ph: (949) 574-5800 |
| NPI Number | 1750567244 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 02/28/2014 |
| Medicare PECOS PAC ID | 2860578440 |
|---|---|
| Medicare Enrollment ID | O20080324000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750567244 | NPI | - | NPPES |
| I12587 | Other | OR | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A101853 (California) | Primary |
| 208000000X | Pediatrics | A101853 (California) | Secondary |
| Provider Name | Kelly K Mccann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336155381 PECOS PAC ID: 7719951284 Enrollment ID: I20080324000204 |
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