| Kolvita Family Medical Group, Inc. | |
|
25982 Pala Ste. 180 Mission Viejo CA 92691-6719 | |
| (949) 600-8990 | |
| (949) 600-8998 |
| Full Name | Kolvita Family Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 25982 Pala, Mission Viejo, California |
| Authorized Official Name and Position | Linda Marlene Bolling (OWNER) |
| Authorized Official Contact | 9496008990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolvita Family Medical Group, Inc. 25982 Pala Ste. 180 Mission Viejo CA 92691-6719 Ph: (949) 600-8990 | Kolvita Family Medical Group, Inc. 25982 Pala Ste. 180 Mission Viejo CA 92691-6719 Ph: (949) 600-8990 |
| NPI Number | 1932255148 |
|---|---|
| Provider Enumeration Date | 01/28/2007 |
| Last Update Date | 09/28/2012 |
| Medicare PECOS PAC ID | 2466472782 |
|---|---|
| Medicare Enrollment ID | O20051201000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932255148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A74559 (California) | Primary |
| Provider Name | Matthew A Zeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700970332 PECOS PAC ID: 6608848775 Enrollment ID: I20040809001495 |
| Provider Name | Linda M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871664987 PECOS PAC ID: 2264452580 Enrollment ID: I20051202000245 |
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 | |
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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 |