| Careconnectmd Georgia Pc | |
|
16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 | |
| (888) 789-9585 | |
| (562) 803-4500 |
| Full Name | Careconnectmd Georgia Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16162 Beach Blvd Ste 100, Huntington Beach, California |
| Authorized Official Name and Position | Ujjwala Shah Dheeriya (CEO) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Georgia Pc 16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 Ph: (888) 789-9585 | Careconnectmd Georgia Pc 16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 Ph: (888) 789-9585 |
| NPI Number | 1063034387 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 05/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063034387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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