Priority Care Medical Group | |
18663 Brookhurst St Fountain Valley CA 92708-6709 | |
(714) 887-9800 | |
(714) 887-9803 |
Full Name | Priority Care Medical Group |
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Speciality | Family Medicine |
Location | 18663 Brookhurst St, Fountain Valley, California |
Authorized Official Name and Position | Jeff Huang (PRESIDENT) |
Authorized Official Contact | 7148879800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Priority Care Medical Group 18663 Brookhurst St Fountain Valley CA 92708-6709 Ph: (714) 887-9800 | Priority Care Medical Group 18663 Brookhurst St Fountain Valley CA 92708-6709 Ph: (714) 887-9800 |
NPI Number | 1831200195 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 02/01/2010 |
Medicare PECOS PAC ID | 1850426735 |
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Medicare Enrollment ID | O20100317000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831200195 | NPI | - | NPPES |
00A640140 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeff Huang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124122551 PECOS PAC ID: 1153392824 Enrollment ID: I20040804001913 |
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