Senior Doc Montana, P.c. | |
2592 N Santiago Blvd Orange CA 92867-1862 | |
(855) 434-7763 | |
(949) 281-5550 |
Full Name | Senior Doc Montana, P.c. |
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Speciality | Family Medicine |
Location | 2592 N Santiago Blvd, Orange, California |
Authorized Official Name and Position | Angelica L Soto (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8554347763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Senior Doc Montana, P.c. 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 | Senior Doc Montana, P.c. 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 |
NPI Number | 1700647385 |
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Provider Enumeration Date | 01/19/2024 |
Last Update Date | 01/19/2024 |
Medicare PECOS PAC ID | 5799121034 |
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Medicare Enrollment ID | O20240308003696 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700647385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John M Geiss |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20240307000932 |
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