| Bachar Kurdi Md Medical Corporation | |
|
11100 Warner Ave Suite#254 Fountain Valley CA 92708-7506 | |
| (714) 546-5967 | |
| (714) 546-5970 |
| Full Name | Bachar Kurdi Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 11100 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Bachar Kurdi (PRESIDENT) |
| Authorized Official Contact | 7145465967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bachar Kurdi Md Medical Corporation 14252 Culver Dr Pmb 903 Irvine CA 92604-0317 Ph: (714) 546-5967 | Bachar Kurdi Md Medical Corporation 11100 Warner Ave Suite#254 Fountain Valley CA 92708-7506 Ph: (714) 546-5967 |
| NPI Number | 1407183361 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 03/30/2012 |
| Medicare PECOS PAC ID | 7810150984 |
|---|---|
| Medicare Enrollment ID | O20120530000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407183361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Bachar Kurdi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750483327 PECOS PAC ID: 9537103320 Enrollment ID: I20050613001016 |
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