| Starwest Medical Group | |
|
24953 Paseo De Valencia Bldg B Laguna Hills CA 92653-4342 | |
| (949) 900-2393 | |
| Not Available |
| Full Name | Starwest Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 24953 Paseo De Valencia Bldg B, Laguna Hills, California |
| Authorized Official Name and Position | Jeremy Paul Lamotte (SOLE OWNER) |
| Authorized Official Contact | 9492183001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starwest Medical Group 24953 Paseo De Valencia Ste 10b Laguna Hills CA 92653-4340 Ph: (949) 900-2393 | Starwest Medical Group 24953 Paseo De Valencia Bldg B Laguna Hills CA 92653-4342 Ph: (949) 900-2393 |
| NPI Number | 1659820298 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 07/06/2023 |
| Medicare PECOS PAC ID | 2365866746 |
|---|---|
| Medicare Enrollment ID | O20200717001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659820298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Priscilla Woo Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376510743 PECOS PAC ID: 0042309726 Enrollment ID: I20071203000698 |
| Provider Name | Jeremy Paul La Motte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504409 PECOS PAC ID: 8123076742 Enrollment ID: I20140611001748 |
| Provider Name | Grace M Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225670565 PECOS PAC ID: 1658792304 Enrollment ID: I20200604000974 |
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