| Riiid Medical Group Irvine Inc | |
|
16100 Sand Canyon Ave Ste 240 Irvine CA 92618-3724 | |
| (949) 393-7443 | |
| Not Available |
| Full Name | Riiid Medical Group Irvine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16100 Sand Canyon Ave Ste 240, Irvine, California |
| Authorized Official Name and Position | Karl K Tokita (VICE PRESIDENT) |
| Authorized Official Contact | 9496775878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riiid Medical Group Irvine Inc 16100 Sand Canyon Ave Ste 240 Irvine CA 92618-3724 Ph: () - | Riiid Medical Group Irvine Inc 16100 Sand Canyon Ave Ste 240 Irvine CA 92618-3724 Ph: (949) 393-7443 |
| NPI Number | 1437770468 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 4284046889 |
|---|---|
| Medicare Enrollment ID | O20201223000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437770468 | NPI | - | NPPES |
| Provider Name | Dung D Trinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306827670 PECOS PAC ID: 2668500059 Enrollment ID: I20100505000583 |
| Provider Name | Hoa H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427285394 PECOS PAC ID: 2365692019 Enrollment ID: I20140702001869 |
| Provider Name | Maria Theresa M Manalese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352568 PECOS PAC ID: 5193003820 Enrollment ID: I20161031001273 |
| Provider Name | John Park |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750632501 PECOS PAC ID: 8820348527 Enrollment ID: I20180829004245 |
| Provider Name | Narges Feizabadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336569862 PECOS PAC ID: 9234471319 Enrollment ID: I20190422002213 |
| Provider Name | Abdullah Ibish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154783397 PECOS PAC ID: 0749610582 Enrollment ID: I20210511000120 |
| Provider Name | Toni Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336802172 PECOS PAC ID: 8325433758 Enrollment ID: I20220321001993 |
| Provider Name | Carleena Abul Bhaduri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730851122 PECOS PAC ID: 5294120572 Enrollment ID: I20220323002276 |
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