| Premium Health Oc Inc | |
|
22 Odyssey Ste 240 Irvine CA 92618-7700 | |
| (888) 700-0750 | |
| Not Available |
| Full Name | Premium Health Oc Inc |
|---|---|
| Speciality | General Practice |
| Location | 22 Odyssey Ste 240, Irvine, California |
| Authorized Official Name and Position | Alan Mohajer (DIRECTOR) |
| Authorized Official Contact | 9494081000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Health Oc Inc 1800 E Garry Ave Ste 220 Santa Ana CA 92705-5803 Ph: (949) 408-1000 | Premium Health Oc Inc 22 Odyssey Ste 240 Irvine CA 92618-7700 Ph: (888) 700-0750 |
| NPI Number | 1831712496 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 1456762988 |
|---|---|
| Medicare Enrollment ID | O20201204000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831712496 | NPI | - | NPPES |
| Provider Name | Behdad Akbarpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760604979 PECOS PAC ID: 9335295971 Enrollment ID: I20090923000078 |
| Provider Name | Rasoul Montazeri |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992068191 PECOS PAC ID: 1557587169 Enrollment ID: I20170809001515 |
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