| Saddleback Family Medicine | |
|
24422 Avenida De La Carlota Ste 272 Laguna Hills CA 92653-3648 | |
| (949) 282-6500 | |
| (949) 282-6501 |
| Full Name | Saddleback Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 24422 Avenida De La Carlota Ste 272, Laguna Hills, California |
| Authorized Official Name and Position | Stephen John Ierardi (PHYSICIAN) |
| Authorized Official Contact | 9492826500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saddleback Family Medicine 24422 Avenida De La Carlota Ste 272 Laguna Hills CA 92653-3648 Ph: (949) 282-6500 | Saddleback Family Medicine 24422 Avenida De La Carlota Ste 272 Laguna Hills CA 92653-3648 Ph: (949) 282-6500 |
| NPI Number | 1336288745 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 12/21/2018 |
| Medicare PECOS PAC ID | 8224198692 |
|---|---|
| Medicare Enrollment ID | O20081204001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336288745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G63246 (California) | Primary |
| Provider Name | Stephen J Ierardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548308836 PECOS PAC ID: 3678634995 Enrollment ID: I20081204001013 |
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