| Mirna R Chambi Md Inc | |
|
7151 Lincoln Ave Suite B Buena Park CA 90620-4613 | |
| (714) 821-6506 | |
| (714) 229-0476 |
| Full Name | Mirna R Chambi Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7151 Lincoln Ave, Buena Park, California |
| Authorized Official Name and Position | Mirna R Chambi (PRESIDENT) |
| Authorized Official Contact | 7148216506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirna R Chambi Md Inc 7151 Lincoln Ave Suite B Buena Park CA 90620-4613 Ph: (714) 821-6506 | Mirna R Chambi Md Inc 7151 Lincoln Ave Suite B Buena Park CA 90620-4613 Ph: (714) 821-6506 |
| NPI Number | 1265585038 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4385703404 |
|---|---|
| Medicare Enrollment ID | O20081104000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265585038 | NPI | - | NPPES |
| 00A531490 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A53149 (California) | Primary |
| Provider Name | Mirna R Chambi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104853514 PECOS PAC ID: 6305905423 Enrollment ID: I20081104000731 |
| Provider Name | Bernadette P Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346559317 PECOS PAC ID: 2264755891 Enrollment ID: I20150106001154 |
| Provider Name | Baudelia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649665480 PECOS PAC ID: 2163729625 Enrollment ID: I20160328001932 |
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