| Palliative Care Physicians Group Inc | |
|
23141 Verdugo Dr 201 Laguna Hills CA 92653-1341 | |
| (949) 215-5055 | |
| Not Available |
| Full Name | Palliative Care Physicians Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 23141 Verdugo Dr, Laguna Hills, California |
| Authorized Official Name and Position | Amar Patel (DIRECTOR) |
| Authorized Official Contact | 9492155055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative Care Physicians Group Inc 23141 Verdugo Dr 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 | Palliative Care Physicians Group Inc 23141 Verdugo Dr 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 |
| NPI Number | 1740634898 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/18/2016 |
| Medicare PECOS PAC ID | 8820380157 |
|---|---|
| Medicare Enrollment ID | O20160707000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740634898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | A75898 (California) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | A75898 (California) | Primary |
| Provider Name | Bharathi S Vayuvegula |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023044476 PECOS PAC ID: 4688614522 Enrollment ID: I20050510000551 |
| Provider Name | Parichehr A Tabibian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154521730 PECOS PAC ID: 0345308110 Enrollment ID: I20081022000728 |
| Provider Name | Chirag Bhavsar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386703007 PECOS PAC ID: 2264460484 Enrollment ID: I20081112000083 |
| Provider Name | Nehal Gordhan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174694079 PECOS PAC ID: 2769671056 Enrollment ID: I20110119000052 |
| Provider Name | Marian F Assal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1669630596 PECOS PAC ID: 3577792928 Enrollment ID: I20151022000727 |
| Provider Name | Swapna Vayuvegula Phadnis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235420399 PECOS PAC ID: 0749580124 Enrollment ID: I20151208001848 |
| Provider Name | Kaifan Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285001628 PECOS PAC ID: 8628341146 Enrollment ID: I20170906000381 |
| Provider Name | Sarabjit Singh Anand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425392 PECOS PAC ID: 5597931527 Enrollment ID: I20190315002265 |
| Provider Name | Diana Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174160410 PECOS PAC ID: 1153756606 Enrollment ID: I20200110002363 |
| Provider Name | Maritza J Lira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457986168 PECOS PAC ID: 9830528439 Enrollment ID: I20200402001546 |
| Provider Name | Heather L Perris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235662511 PECOS PAC ID: 8325457195 Enrollment ID: I20210506002382 |
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