| St Youstina Family Health Center | |
|
809 S Main St Apt A Santa Ana CA 92701-6605 | |
| (714) 973-7770 | |
| (714) 973-7775 |
| Full Name | St Youstina Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 809 S Main St Apt A, Santa Ana, California |
| Authorized Official Name and Position | Isaac Nageeb Beshay (CEO) |
| Authorized Official Contact | 7142906269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Youstina Family Health Center Po Box 10875 Costa Mesa CA 92627-0268 Ph: (714) 973-7770 | St Youstina Family Health Center 809 S Main St Apt A Santa Ana CA 92701-6605 Ph: (714) 973-7770 |
| NPI Number | 1740822360 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 0840628855 |
|---|---|
| Medicare Enrollment ID | O20200325000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740822360 | NPI | - | NPPES |
| 1346492055 | Medicaid | CA |
| Provider Name | Isaac Beshay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962434241 PECOS PAC ID: 3779528773 Enrollment ID: I20050621000512 |
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