| Rancho Santa Margarita Osteopathic And Internal Medicine | |
|
30212 Tomas Ste 180 Rancho Santa Margarita CA 92688-2174 | |
| (949) 923-0608 | |
| Not Available |
| Full Name | Rancho Santa Margarita Osteopathic And Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 30212 Tomas Ste 180, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Zakiat Nur-darojat Jalilvand (PRESIDENT) |
| Authorized Official Contact | 9499230608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Santa Margarita Osteopathic And Internal Medicine 32742 Coppercrest Dr Trabuco Canyon CA 92679-3373 Ph: (949) 923-0608 | Rancho Santa Margarita Osteopathic And Internal Medicine 30212 Tomas Ste 180 Rancho Santa Margarita CA 92688-2174 Ph: (949) 923-0608 |
| NPI Number | 1578077400 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 6002176757 |
|---|---|
| Medicare Enrollment ID | O20180129001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578077400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A12141 (California) | Primary |
| Provider Name | Zakiat Nur-darojat Jalilvand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548532658 PECOS PAC ID: 7315184058 Enrollment ID: I20140206001665 |
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