| Ohana Physicians Cooperative Inc | |
|
668 N Coast Hwy Laguna Beach CA 92651 | |
| (949) 234-7262 | |
| Not Available |
| Full Name | Ohana Physicians Cooperative Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 668 N Coast Hwy, Laguna Beach, California |
| Authorized Official Name and Position | Melissa Siew (SECRETARY) |
| Authorized Official Contact | 2136051313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Physicians Cooperative Inc 668 N Coast Hwy Po Box 394 Laguna Beach CA 92651 Ph: (949) 234-7262 | Ohana Physicians Cooperative Inc 668 N Coast Hwy Laguna Beach CA 92651 Ph: (949) 234-7262 |
| NPI Number | 1629536404 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 07/17/2019 |
| Medicare PECOS PAC ID | 4789915281 |
|---|---|
| Medicare Enrollment ID | O20191015001471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629536404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa Siew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780096099 PECOS PAC ID: 7618286329 Enrollment ID: I20151020002779 |
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