| Sip Dc Ca, Inc | |
|
600 Anton Blvd Ste 1100 Costa Mesa CA 92626-7100 | |
| (800) 388-3906 | |
| Not Available |
| Full Name | Sip Dc Ca, Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 600 Anton Blvd Ste 1100, Costa Mesa, California |
| Authorized Official Name and Position | Glenn Fortich (REVENUE CYCLE MANAGEMENT DIRECTOR) |
| Authorized Official Contact | 6268939730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sip Dc Ca, Inc 600 Anton Blvd Ste 1100 Costa Mesa CA 92626-7100 Ph: (800) 388-3906 | Sip Dc Ca, Inc 600 Anton Blvd Ste 1100 Costa Mesa CA 92626-7100 Ph: (800) 388-3906 |
| NPI Number | 1588056014 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588056014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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