| Senior Care Medical Associates, Inc. | |
|
23521 Paseo De Valencia Suite 108 Laguna Hills CA 92653-3107 | |
| (949) 588-7262 | |
| (949) 588-7260 |
| Full Name | Senior Care Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 23521 Paseo De Valencia, Laguna Hills, California |
| Authorized Official Name and Position | Howard Barry Cohen (PRESIDENT) |
| Authorized Official Contact | 9495882166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Medical Associates, Inc. 23521 Paseo De Valencia Suite 108 Laguna Hills CA 92653-3107 Ph: (949) 588-7262 | Senior Care Medical Associates, Inc. 23521 Paseo De Valencia Suite 108 Laguna Hills CA 92653-3107 Ph: (949) 588-7262 |
| NPI Number | 1790909042 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 12/12/2007 |
| Medicare PECOS PAC ID | 5294790929 |
|---|---|
| Medicare Enrollment ID | O20070810000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790909042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent W Ridder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730120163 PECOS PAC ID: 9537123088 Enrollment ID: I20041115001337 |
| Provider Name | Jorge A Rivero |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013097260 PECOS PAC ID: 8527013499 Enrollment ID: I20050314001108 |
| Provider Name | Sarah S Teymoorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518147396 PECOS PAC ID: 8628115987 Enrollment ID: I20140822000843 |
| Provider Name | Jay A Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891231700 PECOS PAC ID: 9931483757 Enrollment ID: I20170222002532 |
| Provider Name | Iwan Nyotowidjojo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578976270 PECOS PAC ID: 3274859970 Enrollment ID: I20200423002440 |
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