| Weiss Surkhabi, Inc | |
|
17322 Murphy Ave Irvine CA 92614-5920 | |
| (714) 267-2365 | |
| Not Available |
| Full Name | Weiss Surkhabi, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 17322 Murphy Ave, Irvine, California |
| Authorized Official Name and Position | Nicole St Claire (BILLER) |
| Authorized Official Contact | 9496885779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weiss Surkhabi, Inc 17322 Murphy Ave Irvine CA 92614-5920 Ph: (949) 688-5779 | Weiss Surkhabi, Inc 17322 Murphy Ave Irvine CA 92614-5920 Ph: (714) 267-2365 |
| NPI Number | 1164183299 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 08/12/2022 |
| Medicare PECOS PAC ID | 4284029828 |
|---|---|
| Medicare Enrollment ID | O20220318000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164183299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Weiss Surkhabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427586759 PECOS PAC ID: 5799198834 Enrollment ID: I20210108000658 |
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