| Robby T Ayoub Md Prof Medical Corp | |
|
8201 Newman Ave Suite 101 Huntington Beach CA 92647-7020 | |
| (714) 847-6900 | |
| (714) 847-3900 |
| Full Name | Robby T Ayoub Md Prof Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 8201 Newman Ave, Huntington Beach, California |
| Authorized Official Name and Position | Robby T Ayoub (PRESIDENT) |
| Authorized Official Contact | 7144321800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robby T Ayoub Md Prof Medical Corp 17870 Newhope St Suite 104-546 Fountain Valley CA 92708-5439 Ph: (714) 847-6900 | Robby T Ayoub Md Prof Medical Corp 8201 Newman Ave Suite 101 Huntington Beach CA 92647-7020 Ph: (714) 847-6900 |
| NPI Number | 1073755476 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 08/22/2016 |
| Medicare PECOS PAC ID | 1951456649 |
|---|---|
| Medicare Enrollment ID | O20090901000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073755476 | NPI | - | NPPES |
| CC648A | Other | CA | PTAN |
| Provider Name | Robby Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396958237 PECOS PAC ID: 2769574771 Enrollment ID: I20090710000518 |
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