| |
250 E Yale Loop Ste E Irvine CA 92604-4697 | |
(310) 893-3884 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 250 E Yale Loop Ste E, Irvine, California |
Authorized Official Name and Position | Khashayar Sarabi (PHYSICIAN) |
Authorized Official Contact | 3108933884 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1512 Treasure Ln Santa Ana CA 92705-2463 Ph: (310) 893-3884 | 250 E Yale Loop Ste E Irvine CA 92604-4697 Ph: (310) 893-3884 |
NPI Number | 1477855856 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 01/06/2025 |
Medicare PECOS PAC ID | 6901148139 |
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Medicare Enrollment ID | O20190508001664 |
Identifier | Type | State | Issuer |
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1477855856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A105478 (California) | Primary |
Provider Name | Khashayar Sarabi |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1467650846 PECOS PAC ID: 7618219841 Enrollment ID: I20190508001917 |
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