| Popular Medical Clinic Inc | |
|
420 S Bristol Street Santa Ana CA 92703 | |
| (714) 541-5252 | |
| (714) 541-1402 |
| Full Name | Popular Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 420 S Bristol Street, Santa Ana, California |
| Authorized Official Name and Position | Jose Cilliani (OWNER) |
| Authorized Official Contact | 7145415252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Popular Medical Clinic Inc 420 S Bristol Street Santa Ana CA 92703 Ph: (714) 541-5252 | Popular Medical Clinic Inc 420 S Bristol Street Santa Ana CA 92703 Ph: (714) 541-5252 |
| NPI Number | 1568400208 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 5890775142 |
|---|---|
| Medicare Enrollment ID | O20040726000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568400208 | NPI | - | NPPES |
| GR0100300 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Cilliani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265545586 PECOS PAC ID: 2668639493 Enrollment ID: I20120207000507 |
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