| Scientia Caritas Medicine | |
|
17150 Euclid St Ste 200 Fountain Valley CA 92708-4092 | |
| (949) 903-2152 | |
| Not Available |
| Full Name | Scientia Caritas Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 17150 Euclid St Ste 200, Fountain Valley, California |
| Authorized Official Name and Position | David Chan (PRESIDENT) |
| Authorized Official Contact | 9499032152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scientia Caritas Medicine 27755 Homestead Rd Laguna Niguel CA 92677-3762 Ph: (949) 903-2152 | Scientia Caritas Medicine 17150 Euclid St Ste 200 Fountain Valley CA 92708-4092 Ph: (949) 903-2152 |
| NPI Number | 1588231187 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 08/02/2021 |
| Medicare PECOS PAC ID | 6608271119 |
|---|---|
| Medicare Enrollment ID | O20210823000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588231187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Philip Chiou |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386810133 PECOS PAC ID: 0547438277 Enrollment ID: I20110722000407 |
| Provider Name | David D Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497068688 PECOS PAC ID: 0244456366 Enrollment ID: I20140725002314 |
| Provider Name | Stephanie Y Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700107265 PECOS PAC ID: 0345563938 Enrollment ID: I20150107001301 |
| Provider Name | Elizabeth Branson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023587516 PECOS PAC ID: 0042644874 Enrollment ID: I20200102001156 |
| Provider Name | Andrew Hanna |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972042620 PECOS PAC ID: 2062812886 Enrollment ID: I20220802000816 |
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