| Spn Medical Consulting Inc. | |
|
520 Superior Ave Ste. 350 Newport Beach CA 92663-3637 | |
| (949) 650-0616 | |
| (949) 650-0600 |
| Full Name | Spn Medical Consulting Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Sean P. Nikravan (OWNER) |
| Authorized Official Contact | 7143664766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spn Medical Consulting Inc. 520 Superior Ave Ste. 350 Newport Beach CA 92663-3637 Ph: (949) 650-0616 | Spn Medical Consulting Inc. 520 Superior Ave Ste. 350 Newport Beach CA 92663-3637 Ph: (949) 650-0616 |
| NPI Number | 1972937266 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 03/27/2014 |
| Medicare PECOS PAC ID | 8921221482 |
|---|---|
| Medicare Enrollment ID | O20140602001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972937266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A80371 (California) | Primary |
| Provider Name | Sean P Nikravan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357319 PECOS PAC ID: 8123051372 Enrollment ID: I20050916000977 |
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