Raef M Elsanadi Md Inc A Professional Corporation | |
27800 Medical Ctr Rd 212 Mission Viejo CA 92691 | |
(949) 364-3582 | |
(949) 364-3582 |
Full Name | Raef M Elsanadi Md Inc A Professional Corporation |
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Speciality | Internal Medicine |
Location | 27800 Medical Ctr Rd, Mission Viejo, California |
Authorized Official Name and Position | Raef M Elsanadi (PRESIDENT) |
Authorized Official Contact | 9493643582 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raef M Elsanadi Md Inc A Professional Corporation 27800 Medical Ctr Rd 212 Mission Viejo CA 92691 Ph: (949) 364-3582 | Raef M Elsanadi Md Inc A Professional Corporation 27800 Medical Ctr Rd 212 Mission Viejo CA 92691 Ph: (949) 364-3582 |
NPI Number | 1053482752 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 03/07/2014 |
Medicare PECOS PAC ID | 7618933037 |
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Medicare Enrollment ID | O20041207001285 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053482752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Raef M Elsanadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487744819 PECOS PAC ID: 1254397672 Enrollment ID: I20041208000309 |
Provider Name | Tara Marchido |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922350255 PECOS PAC ID: 3779870621 Enrollment ID: I20160921001398 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |