| Prosperite Health | |
|
300 E Yorba Linda Blvd Ste B Placentia CA 92870-2910 | |
| (714) 924-3404 | |
| (714) 364-1091 |
| Full Name | Prosperite Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 E Yorba Linda Blvd Ste B, Placentia, California |
| Authorized Official Name and Position | Samantha Von Ins (CEO & PHYSICIAN) |
| Authorized Official Contact | 7149243404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperite Health 300 E Yorba Linda Blvd Ste B Placentia CA 92870-2910 Ph: (714) 924-3404 | Prosperite Health 300 E Yorba Linda Blvd Ste B Placentia CA 92870-2910 Ph: (714) 924-3404 |
| NPI Number | 1548973951 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 2668830969 |
|---|---|
| Medicare Enrollment ID | O20230619001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548973951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Samantha Mekhail Von Ins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942521174 PECOS PAC ID: 0345479143 Enrollment ID: I20140127000407 |
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