| Elite Care Medical Group, Inc | |
|
13794 Beach Blv Suite B Westminster CA 92683-4036 | |
| (714) 590-8900 | |
| (714) 590-8471 |
| Full Name | Elite Care Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13794 Beach Blv, Westminster, California |
| Authorized Official Name and Position | Hao D Dinh (PRESIDENT) |
| Authorized Official Contact | 7145908900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Care Medical Group, Inc 13794 Beach Blv Suite B Westminster CA 92683-4036 Ph: (714) 590-8900 | Elite Care Medical Group, Inc 13794 Beach Blv Suite B Westminster CA 92683-4036 Ph: (714) 590-8900 |
| NPI Number | 1154886406 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 10/03/2019 |
| Medicare PECOS PAC ID | 3375882293 |
|---|---|
| Medicare Enrollment ID | O20190311001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154886406 | NPI | - | NPPES |
| 20A7627 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hao Dang Dinh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205918299 PECOS PAC ID: 4082953906 Enrollment ID: I20190829003865 |
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