| Personalcare Physicians Of Newport Beach Inc | |
|
2121 E Coast Hwy Ste 250 Corona Del Mar CA 92625-1932 | |
| (949) 706-3300 | |
| (949) 706-3301 |
| Full Name | Personalcare Physicians Of Newport Beach Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2121 E Coast Hwy Ste 250, Corona Del Mar, California |
| Authorized Official Name and Position | Kenneth S. Cheng (PHYSICIAN) |
| Authorized Official Contact | 9497063300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalcare Physicians Of Newport Beach Inc 2121 E Coast Hwy Ste 250 Corona Del Mar CA 92625-1932 Ph: (949) 706-3300 | Personalcare Physicians Of Newport Beach Inc 2121 E Coast Hwy Ste 250 Corona Del Mar CA 92625-1932 Ph: (949) 706-3300 |
| NPI Number | 1740484633 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 11/03/2021 |
| Medicare PECOS PAC ID | 4587092663 |
|---|---|
| Medicare Enrollment ID | O20200324001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740484633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Bloom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417005737 PECOS PAC ID: 9436346749 Enrollment ID: I20101213001031 |
| Provider Name | Jeffrey I Barke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437109758 PECOS PAC ID: 9335197110 Enrollment ID: I20101213001058 |
| Provider Name | Josette Renee Taglieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497710842 PECOS PAC ID: 3971791161 Enrollment ID: I20110104000157 |
Roya Khodaie, Md Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 E Coast Hwy Ste 150, Corona Del Mar, CA 92625 Phone: 703-477-7572 | |
Rokhsareh Tajrishi Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3334 E Coast Hwy, Suite 570, Corona Del Mar, CA 92625 Phone: 714-903-7767 Fax: 714-903-7801 | |
Personalcare Physicians Of Irvine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 E Coast Hwy Ste 250, Corona Del Mar, CA 92625 Phone: 949-706-3300 Fax: 949-706-3301 |