| Mikio Tachibana, M.d. | |
|
11100 Warner Ave Suite 154 Fountain Valley CA 92708-7506 | |
| (714) 966-2800 | |
| (714) 966-0421 |
| Full Name | Mikio Tachibana, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11100 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Mikio Tachibana (PRESIDENT) |
| Authorized Official Contact | 7149662800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikio Tachibana, M.d. 11100 Warner Ave Suite 154 Fountain Valley CA 92708-7506 Ph: (714) 966-2800 | Mikio Tachibana, M.d. 11100 Warner Ave Suite 154 Fountain Valley CA 92708-7506 Ph: (714) 966-2800 |
| NPI Number | 1265627731 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Medicare PECOS PAC ID | 4082655428 |
|---|---|
| Medicare Enrollment ID | O20050517000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265627731 | NPI | - | NPPES |
| 00A354330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A35433 (California) | Primary |
| Provider Name | Mikio Tachibana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721227 PECOS PAC ID: 7719928159 Enrollment ID: I20050520000343 |
Citrus Medical Clinic Professional Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10900 Warner Ave Ste 111, Fountain Valley, CA 92708 Phone: 714-369-2554 | |
Dalilah Restrepo Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 917-376-0967 | |
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Regenerative Optimum Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave, Suite 257, Fountain Valley, CA 92708 Phone: 714-885-8980 Fax: 714-434-0790 | |
Valley View Comprehensive Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17220 Newhope St Ste 125-126, Fountain Valley, CA 92708 Phone: 562-412-8863 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave Ste 353, Fountain Valley, CA 92708 Phone: 714-406-0185 Fax: 310-763-7573 | |
Ky T. Vu, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17150 Euclid St Ste 200, Fountain Valley, CA 92708 Phone: 714-501-5798 Fax: 714-908-8120 |