Synergy Primary Care | |
4330 Barranca Pkwy Ste 245 Irvine CA 92604-1704 | |
(949) 273-2888 | |
(949) 273-2801 |
Full Name | Synergy Primary Care |
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Speciality | Internal Medicine |
Location | 4330 Barranca Pkwy Ste 245, Irvine, California |
Authorized Official Name and Position | Simon Ka Chun So (DIRECTOR) |
Authorized Official Contact | 9492732888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Synergy Primary Care 4330 Barranca Pkwy Ste 245 Irvine CA 92604-1704 Ph: (949) 273-2888 | Synergy Primary Care 4330 Barranca Pkwy Ste 245 Irvine CA 92604-1704 Ph: (949) 273-2888 |
NPI Number | 1003586801 |
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Provider Enumeration Date | 09/14/2021 |
Last Update Date | 03/18/2022 |
Medicare PECOS PAC ID | 0749670867 |
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Medicare Enrollment ID | O20211204000082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003586801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Simon Ka Chun So |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336646132 PECOS PAC ID: 1658761770 Enrollment ID: I20211204000094 |
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