| Dr Camellia Shoapour, MD | |
|
26991 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6511 | |
| (949) 582-5430 | |
| (949) 348-9513 |
| Full Name | Dr Camellia Shoapour |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 26991 Crown Valley Pkwy Ste 100, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154883940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A180079 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Centers For Family Medicine Gp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Camellia Shoapour, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: () - | Dr Camellia Shoapour, MD 26991 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6511 Ph: (949) 582-5430 |
Dr. Nader A. Ahmad, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 23962 Alicia Pkwy, Saddleback Family & Urgent Care, Mission Viejo, CA 92691 Phone: 949-452-7699 Fax: 949-770-2815 | |
Randall Vincent Ricketts, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-5430 Fax: 949-348-9513 | |
Dr. David Alan Craddock, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27660 Santa Margarita Pkwy, Mission Viejo, CA 92691 Phone: 949-951-7111 Fax: 949-951-2524 | |
Mary Yusook Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23512 Madero, Mission Viejo, CA 92691 Phone: 949-583-1600 | |
Sherri Lee Mokuau, Family Medicine Medicare: Medicare Enrolled Practice Location: 23781 Maquina, Mission Viejo, CA 92691 Phone: 888-988-2800 | |
Gail Silver, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691 Phone: 949-770-6000 |