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30021 Tomas Ste 300 Rancho Santa Margarita CA 92688-2128 | |
| (888) 857-9528 | |
| (305) 766-0219 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 30021 Tomas Ste 300, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Andrew Jones (OWNER) |
| Authorized Official Contact | 8888579528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
30021 Tomas Ste 300 Rancho Santa Margarita CA 92688-2128 Ph: (888) 857-9528 | 30021 Tomas Ste 300 Rancho Santa Margarita CA 92688-2128 Ph: (888) 857-9528 |
| NPI Number | 1295500775 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 6901338524 |
|---|---|
| Medicare Enrollment ID | O20241021000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295500775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew L Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437470465 PECOS PAC ID: 3971734237 Enrollment ID: I20150317002421 |
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