Oc Id Specialist Inc | |
361 Hospital Rd Ste 531 Newport Beach CA 92663-3526 | |
(949) 375-6527 | |
(949) 656-7001 |
Full Name | Oc Id Specialist Inc |
---|---|
Speciality | Internal Medicine |
Location | 361 Hospital Rd Ste 531, Newport Beach, California |
Authorized Official Name and Position | Khaing T Myint (PRESIDENT) |
Authorized Official Contact | 9493756527 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Oc Id Specialist Inc Po Box 1942 Huntington Beach CA 92647-1942 Ph: (949) 375-6527 | Oc Id Specialist Inc 361 Hospital Rd Ste 531 Newport Beach CA 92663-3526 Ph: (949) 375-6527 |
NPI Number | 1538868369 |
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Provider Enumeration Date | 03/01/2023 |
Last Update Date | 03/14/2023 |
Medicare PECOS PAC ID | 1456716745 |
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Medicare Enrollment ID | O20230419002729 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538868369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Khaing Thinzer Myint |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1720430135 PECOS PAC ID: 2365807658 Enrollment ID: I20230420002987 |
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