| Aquaphire Inc | |
|
31899 Del Obispo St Suite 130 San Juan Capistrano CA 92675-3234 | |
| (949) 359-6400 | |
| Not Available |
| Full Name | Aquaphire Inc |
|---|---|
| Speciality | Pathology |
| Location | 31899 Del Obispo St, San Juan Capistrano, California |
| Authorized Official Name and Position | Michelle Cathleen Hure (PRESIDENT) |
| Authorized Official Contact | 9493596400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquaphire Inc 31899 Del Obispo St. Suite 130 San Juan Capistrano CA 92675 Ph: (949) 359-6400 | Aquaphire Inc 31899 Del Obispo St Suite 130 San Juan Capistrano CA 92675-3234 Ph: (949) 359-6400 |
| NPI Number | 1861862385 |
|---|---|
| Provider Enumeration Date | 09/26/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1254632706 |
|---|---|
| Medicare Enrollment ID | O20151229000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861862385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A112182 (California) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | A112182 (California) | Primary |
| Provider Name | Michelle C Hure |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760656169 PECOS PAC ID: 5799941860 Enrollment ID: I20120718000608 |
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