| Monogram Health Professional Services Of California Pc | |
|
333 City Blvd W Ste 362 Orange CA 92868-2972 | |
| (615) 673-4455 | |
| (615) 432-4651 |
| Full Name | Monogram Health Professional Services Of California Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 City Blvd W Ste 362, Orange, California |
| Authorized Official Name and Position | Shawn L Verner (SECRETARY) |
| Authorized Official Contact | 6159941889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Of California Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5339 Ph: (615) 673-4455 | Monogram Health Professional Services Of California Pc 333 City Blvd W Ste 362 Orange CA 92868-2972 Ph: (615) 673-4455 |
| NPI Number | 1245950757 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 03/24/2023 |
| Medicare PECOS PAC ID | 2961871223 |
|---|---|
| Medicare Enrollment ID | O20221207002970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245950757 | NPI | - | NPPES |
| Provider Name | Simarjit Dhaliwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255485900 PECOS PAC ID: 2264539188 Enrollment ID: I20070529000367 |
| Provider Name | Roshan Rajani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336494145 PECOS PAC ID: 2567785694 Enrollment ID: I20170712003312 |
| Provider Name | Pinky Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336382480 PECOS PAC ID: 7113235847 Enrollment ID: I20221220000998 |
| Provider Name | Sahar Semnani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568985737 PECOS PAC ID: 4486927233 Enrollment ID: I20230119001239 |
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