Rancho Capistrano Medical Clinic,inc | |
34052 La Plz Ste 103 Dana Point CA 92629-2571 | |
(949) 240-2555 | |
(949) 240-2121 |
Full Name | Rancho Capistrano Medical Clinic,inc |
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Speciality | Clinic/center |
Location | 34052 La Plz Ste 103, Dana Point, California |
Authorized Official Name and Position | Shilpa Jagdish Gaikwad (PRESIDENT) |
Authorized Official Contact | 9492402555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rancho Capistrano Medical Clinic,inc 34052 La Plz Ste 103 Dana Point CA 92629-2571 Ph: (949) 240-2555 | Rancho Capistrano Medical Clinic,inc 34052 La Plz Ste 103 Dana Point CA 92629-2571 Ph: (949) 240-2555 |
NPI Number | 1235265505 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 09/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235265505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Judy L Bourget Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34052 La Plz, Ste 104, Dana Point, CA 92629 Phone: 949-429-8760 Fax: 949-429-6909 | |
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