| Southern California Endocrine Medical Group, Pmc | |
|
1310 W Stewart Dr Ste 215 Orange CA 92868-3837 | |
| (714) 997-5000 | |
| (714) 997-5300 |
| Full Name | Southern California Endocrine Medical Group, Pmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1310 W Stewart Dr Ste 215, Orange, California |
| Authorized Official Name and Position | Michael T Tran (PROVIDER) |
| Authorized Official Contact | 7149975000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Endocrine Medical Group, Pmc 1310 W Stewart Dr Ste 215 Orange CA 92868-3837 Ph: (714) 997-5000 | Southern California Endocrine Medical Group, Pmc 1310 W Stewart Dr Ste 215 Orange CA 92868-3837 Ph: (714) 997-5000 |
| NPI Number | 1568471688 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 09/09/2020 |
| Medicare PECOS PAC ID | 8022115054 |
|---|---|
| Medicare Enrollment ID | O20070525000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568471688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Michael Tran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073552295 PECOS PAC ID: 6608804570 Enrollment ID: I20050801001251 |
| Provider Name | Michael Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740919398 PECOS PAC ID: 4385000181 Enrollment ID: I20230522001190 |
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