| Santa Maria Medical Clinic | |
|
1701 E Mcfadden Ave Suite D Santa Ana CA 92705 | |
| (714) 953-6430 | |
| Not Available |
| Full Name | Santa Maria Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1701 E Mcfadden Ave, Santa Ana, California |
| Authorized Official Name and Position | Rajan Garg (OWNER) |
| Authorized Official Contact | 7149536430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Medical Clinic 1701 E Mcfadden Ave Suite D Santa Ana CA 92705-4647 Ph: (714) 953-6430 | Santa Maria Medical Clinic 1701 E Mcfadden Ave Suite D Santa Ana CA 92705 Ph: (714) 953-6430 |
| NPI Number | 1750831822 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 09/07/2018 |
| Medicare PECOS PAC ID | 7618252099 |
|---|---|
| Medicare Enrollment ID | O20170327002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750831822 | NPI | - | NPPES |
| A30390 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| A134588 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A30390 (California) | Primary |
| Provider Name | Rajan Garg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861713141 PECOS PAC ID: 2264746551 Enrollment ID: I20150730012387 |
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