| South Orange County Gastroenterology Inc | |
|
26691 Plaza Ste 150 Mission Viejo CA 92691-6329 | |
| (949) 348-2900 | |
| (949) 348-0960 |
| Full Name | South Orange County Gastroenterology Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26691 Plaza Ste 150, Mission Viejo, California |
| Authorized Official Name and Position | Nader Mirhoseni (PRESIDENT) |
| Authorized Official Contact | 9493482900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Orange County Gastroenterology Inc 26691 Plaza Ste 150 Mission Viejo CA 92691-6347 Ph: (949) 348-2900 | South Orange County Gastroenterology Inc 26691 Plaza Ste 150 Mission Viejo CA 92691-6329 Ph: (949) 348-2900 |
| NPI Number | 1861612293 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 10/21/2020 |
| Medicare PECOS PAC ID | 8628177052 |
|---|---|
| Medicare Enrollment ID | O20070625000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861612293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A85775 (California) | Primary |
| Provider Name | Nader Mirhoseni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588645964 PECOS PAC ID: 2668416983 Enrollment ID: I20050616000792 |
| Provider Name | Christina N Jenkins |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881035814 PECOS PAC ID: 8426372517 Enrollment ID: I20150120002135 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |