Orange County Digestive Care Inc | |
9900 Talbert Ave Ste 100 Fountain Valley CA 92708-5153 | |
(714) 378-7390 | |
(714) 378-7290 |
Full Name | Orange County Digestive Care Inc |
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Speciality | Internal Medicine |
Location | 9900 Talbert Ave, Fountain Valley, California |
Authorized Official Name and Position | Duke H Nguyen (PRESIDENT) |
Authorized Official Contact | 7143787390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Orange County Digestive Care Inc 9900 Talbert Ave Ste 100 Fountain Valley CA 92708-5153 Ph: (714) 378-7390 | Orange County Digestive Care Inc 9900 Talbert Ave Ste 100 Fountain Valley CA 92708-5153 Ph: (714) 378-7390 |
NPI Number | 1699091074 |
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Provider Enumeration Date | 04/11/2010 |
Last Update Date | 08/07/2010 |
Medicare PECOS PAC ID | 6507059102 |
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Medicare Enrollment ID | O20101014001177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699091074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A72508 (California) | Primary |
Provider Name | Duke H Nguyen |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679557797 PECOS PAC ID: 2567453541 Enrollment ID: I20100217000314 |
Provider Name | Ellie Lekov |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1033266788 PECOS PAC ID: 1052444148 Enrollment ID: I20100726000616 |
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