| Redhill Medical Center Inc | |
|
1442 Irvine Blvd Ste 101 Tustin CA 92780-3845 | |
| (714) 544-5007 | |
| Not Available |
| Full Name | Redhill Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1442 Irvine Blvd Ste 101, Tustin, California |
| Authorized Official Name and Position | Dana Ballerini (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7145445007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redhill Medical Center Inc 1442 Irvine Blvd Ste 101 Tustin CA 92780-3845 Ph: (714) 544-5007 | Redhill Medical Center Inc 1442 Irvine Blvd Ste 101 Tustin CA 92780-3845 Ph: (714) 544-5007 |
| NPI Number | 1033799002 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Medicare PECOS PAC ID | 6608276530 |
|---|---|
| Medicare Enrollment ID | O20210615002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033799002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heidi Regenass |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225258965 PECOS PAC ID: 3274704176 Enrollment ID: I20200427000698 |
| Provider Name | Nhu Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912511718 PECOS PAC ID: 2365862422 Enrollment ID: I20201012002612 |
| Provider Name | Vivian Nguyen Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801402912 PECOS PAC ID: 0547674855 Enrollment ID: I20210128000423 |
| Provider Name | Xiaorong Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700450202 PECOS PAC ID: 1850789926 Enrollment ID: I20211201002861 |
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