| Newport Mesa Medical Group, Inc | |
|
275 Victoria St Ste 1e Costa Mesa CA 92627-1906 | |
| (949) 574-3615 | |
| Not Available |
| Full Name | Newport Mesa Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Victoria St, Costa Mesa, California |
| Authorized Official Name and Position | Abdul A Khan (OWNER PHYSICIAN) |
| Authorized Official Contact | 9495743615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Mesa Medical Group, Inc 275 Victoria St Ste 1e Costa Mesa CA 92627-1906 Ph: (949) 574-3615 | Newport Mesa Medical Group, Inc 275 Victoria St Ste 1e Costa Mesa CA 92627-1906 Ph: (949) 574-3615 |
| NPI Number | 1104836956 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 10/19/2010 |
| Medicare PECOS PAC ID | 0547301509 |
|---|---|
| Medicare Enrollment ID | O20100113000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104836956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdul A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932120797 PECOS PAC ID: 9436290491 Enrollment ID: I20101029000513 |
| Provider Name | Munazza Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609897479 PECOS PAC ID: 5799826756 Enrollment ID: I20101029000565 |
Nazli Ahmed, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, # 2m, Costa Mesa, CA 92627 Phone: 949-642-5390 Fax: 949-642-1224 | |
Roberto N Valenton Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Lev Grinman Md 3 Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 S Coast Dr Ste 211, Costa Mesa, CA 92626 Phone: 215-534-0212 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Baker St, Costa Mesa, CA 92626 Phone: 714-557-6300 Fax: 714-966-9567 | |
Shahrestani Chiropractic Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2328 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-631-3139 Fax: 949-631-0747 | |
Md24 San Diego, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626 Phone: 623-374-7774 | |
Coastal Mesa Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 W 19th St Ste J, Costa Mesa, CA 92627 Phone: 657-203-2133 |