| Amor S Del Mundo Md, Inc. | |
|
180 S Prospect Ave Suite # 140 B Tustin CA 92780-3698 | |
| (714) 508-6791 | |
| (714) 508-6791 |
| Full Name | Amor S Del Mundo Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 180 S Prospect Ave, Tustin, California |
| Authorized Official Name and Position | Amor S Del Mundo (PRESIDENT & CEO) |
| Authorized Official Contact | 7143100798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amor S Del Mundo Md, Inc. Po Box 2786 La Habra CA 90632-2786 Ph: () - | Amor S Del Mundo Md, Inc. 180 S Prospect Ave Suite # 140 B Tustin CA 92780-3698 Ph: (714) 508-6791 |
| NPI Number | 1154358497 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830194497 |
|---|---|
| Medicare Enrollment ID | O20061003000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154358497 | NPI | - | NPPES |
| 00C505310 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C50531 (California) | Primary |
| Provider Name | Amor S Del Mundo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376634113 PECOS PAC ID: 7113922774 Enrollment ID: I20061003000656 |
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