| Your Family Care Center Inc | |
|
16300 Sand Canyon Ave Ste 602 Irvine CA 92618-3706 | |
| (949) 783-1911 | |
| (714) 541-5755 |
| Full Name | Your Family Care Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16300 Sand Canyon Ave Ste 602, Irvine, California |
| Authorized Official Name and Position | Shida Saam (PRESIDENT) |
| Authorized Official Contact | 7145415355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Care Center Inc 801 N Tustin Ave Ste 203 Santa Ana CA 92705-3600 Ph: (714) 541-5355 | Your Family Care Center Inc 16300 Sand Canyon Ave Ste 602 Irvine CA 92618-3706 Ph: (949) 783-1911 |
| NPI Number | 1548471469 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 5597792739 |
|---|---|
| Medicare Enrollment ID | O20050720000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548471469 | NPI | - | NPPES |
| 00AX67430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6743 (California) | Primary |
| Provider Name | Shida Saam |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528099470 PECOS PAC ID: 0042247280 Enrollment ID: I20120301000848 |
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