<unavail> in Fullerton, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Pain) in Fullerton, California. The current practice location for is 626 W Commonwealth Ave, Fullerton, California. For appointments, you can reach them via phone at (714) 389-7000. The mailing address for is 626 W Commonwealth Ave, Fullerton, California and phone number is (714) 389-7000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083283741. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 389-7000.

Contact Information


	626 W Commonwealth Ave Fullerton CA 92832-1725
	(714) 389-7000
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	626 W Commonwealth Ave, Fullerton, California
Authorized Official Name and Position	Jaewoo Pak (CEO)
Authorized Official Contact	7143897000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
626 W Commonwealth Ave Fullerton CA 92832-1725 Ph: (714) 389-7000	626 W Commonwealth Ave Fullerton CA 92832-1725 Ph: (714) 389-7000

NPI Details:

NPI Number	1083283741
Provider Enumeration Date	06/17/2021
Last Update Date	12/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5890196620
Medicare Enrollment ID	O20210630001152

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083283741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QP3300X	Clinic/center - Pain	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jaewoo Pak
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1962567321 PECOS PAC ID: 7214992965 Enrollment ID: I20041122001301

Reviews and Comments

Clinic/Center in Fullerton, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835 Phone: 714-449-6230
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1817 W Orangethorpe Ave, Fullerton, CA 92833 Phone: 714-449-0911
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 E Commonwealth Ave Ste 100, Fullerton, CA 92832 Phone: 714-773-4111 Fax: 714-773-4111
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Starbuck St Ste C, Fullerton, CA 92833 Phone: 714-869-3919 Fax: 714-869-3906
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 N Harbor Blvd, Suite 3200, Fullerton, CA 92835 Phone: 714-446-5101

- Medicare Primary Care in Fullerton, CA