| South County Gastro Medical Clinic Pc | |
|
26691 Plaza Ste 150 Mission Viejo CA 92691-6347 | |
| (949) 348-2900 | |
| Not Available |
| Full Name | South County Gastro Medical Clinic Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 26691 Plaza Ste 150, Mission Viejo, California |
| Authorized Official Name and Position | Nader Mirhoseni (CEO) |
| Authorized Official Contact | 9493482900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Gastro Medical Clinic Pc 26691 Plaza Ste 150 Mission Viejo CA 92691-6347 Ph: (949) 348-2900 | South County Gastro Medical Clinic Pc 26691 Plaza Ste 150 Mission Viejo CA 92691-6347 Ph: (949) 348-2900 |
| NPI Number | 1104522606 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104522606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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