| Comprehensive Care Center Of Irvine, Inc | |
|
250 E Yale Loop Ste 204 Irvine CA 92604-4697 | |
| (949) 732-3530 | |
| (949) 732-3533 |
| Full Name | Comprehensive Care Center Of Irvine, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 E Yale Loop Ste 204, Irvine, California |
| Authorized Official Name and Position | Kalena K Hwang (PRESIDENT) |
| Authorized Official Contact | 9497323530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Care Center Of Irvine, Inc Po Box 2768 Suisun City CA 94585-5768 Ph: (657) 241-3600 | Comprehensive Care Center Of Irvine, Inc 250 E Yale Loop Ste 204 Irvine CA 92604-4697 Ph: (949) 732-3530 |
| NPI Number | 1598067076 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 6507041068 |
|---|---|
| Medicare Enrollment ID | O20110426000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598067076 | NPI | - | NPPES |
| EV049A | Other | CA | MEDICARE |
| DS0690 | Other | CA | MEDICARE RAILROAD |
| Provider Name | Kalena K Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225088164 PECOS PAC ID: 1951312594 Enrollment ID: I20060511000155 |
| Provider Name | Kelly K Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932289824 PECOS PAC ID: 7719079169 Enrollment ID: I20140508002137 |
| Provider Name | Amanda A Binns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205105913 PECOS PAC ID: 5294959631 Enrollment ID: I20140605000233 |
| Provider Name | Katherine Lin Matsumoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003322306 PECOS PAC ID: 9335407055 Enrollment ID: I20171228002758 |
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