Thomas Badin Md Inc | |
801 N Tustin Ave Suite 703 Santa Ana CA 92705-3612 | |
(714) 835-9441 | |
(714) 242-2083 |
Full Name | Thomas Badin Md Inc |
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Speciality | Family Medicine |
Location | 801 N Tustin Ave, Santa Ana, California |
Authorized Official Name and Position | Thomas Badin (PHYSICIAN) |
Authorized Official Contact | 7148359441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas Badin Md Inc 801 N Tustin Ave Suite 703 Santa Ana CA 92705-3612 Ph: (714) 835-9441 | Thomas Badin Md Inc 801 N Tustin Ave Suite 703 Santa Ana CA 92705-3612 Ph: (714) 835-9441 |
NPI Number | 1932318599 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 09/01/2010 |
Medicare PECOS PAC ID | 3678765518 |
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Medicare Enrollment ID | O20101011000124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932318599 | NPI | - | NPPES |
05D0965453 | Other | CA | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas Badin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740358704 PECOS PAC ID: 4789876624 Enrollment ID: I20101011000088 |
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