Marco M Zahedi Md A Medical Corporation | |
999 N Tustin Ave Ste 222 Santa Ana CA 92705-6506 | |
(949) 371-9862 | |
(866) 439-4879 |
Full Name | Marco M Zahedi Md A Medical Corporation |
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Speciality | General Practice |
Location | 999 N Tustin Ave Ste 222, Santa Ana, California |
Authorized Official Name and Position | Marco M Zahedi (MEDICAL DIRECTOR) |
Authorized Official Contact | 9493719862 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marco M Zahedi Md A Medical Corporation 3972 Barranca Pkwy Suite J #490 Irvine CA 92606-1204 Ph: (949) 371-9862 | Marco M Zahedi Md A Medical Corporation 999 N Tustin Ave Ste 222 Santa Ana CA 92705-6506 Ph: (949) 371-9862 |
NPI Number | 1013454495 |
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Provider Enumeration Date | 01/24/2017 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 5991072753 |
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Medicare Enrollment ID | O20170525002554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013454495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A138224 (California) | Primary |
Provider Name | Marco Zahedi |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1063779163 PECOS PAC ID: 0749590156 Enrollment ID: I20151113001020 |
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