| Saint Mariam Medical Clinic,inc | |
|
4950 Barranca Pkwy Ste 204 Irvine CA 92604-4687 | |
| (949) 857-1871 | |
| (949) 857-1879 |
| Full Name | Saint Mariam Medical Clinic,inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4950 Barranca Pkwy Ste 204, Irvine, California |
| Authorized Official Name and Position | Hanaa Fam (OWNER) |
| Authorized Official Contact | 9498571871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Mariam Medical Clinic,inc 4950 Barranca Pkwy Ste 204 Irvine CA 92604-4687 Ph: (949) 857-1871 | Saint Mariam Medical Clinic,inc 4950 Barranca Pkwy Ste 204 Irvine CA 92604-4687 Ph: (949) 857-1871 |
| NPI Number | 1851316707 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 02/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851316707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A68093 (California) | Primary |
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