| Saetrum Opgaard Md Inc | |
|
9191 Westminster Ave Ste 207 Garden Grove CA 92844-2751 | |
| (714) 786-5794 | |
| (714) 786-5799 |
| Full Name | Saetrum Opgaard Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9191 Westminster Ave Ste 207, Garden Grove, California |
| Authorized Official Name and Position | Ole Saetrum Opgaard (PRESIDENT/OWNER) |
| Authorized Official Contact | 9492286387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saetrum Opgaard Md Inc Po Box 12259 Westminster CA 92685-2259 Ph: (949) 228-6387 | Saetrum Opgaard Md Inc 9191 Westminster Ave Ste 207 Garden Grove CA 92844-2751 Ph: (714) 786-5794 |
| NPI Number | 1417197997 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 8527117720 |
|---|---|
| Medicare Enrollment ID | O20090519000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417197997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ole Saetrum Opgaard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649211012 PECOS PAC ID: 5496753659 Enrollment ID: I20061122000201 |
| Provider Name | Stacey Cabrera Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427460419 PECOS PAC ID: 1759695026 Enrollment ID: I20150730011800 |
| Provider Name | Traci Ngan Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225417124 PECOS PAC ID: 3476821760 Enrollment ID: I20170608002695 |
| Provider Name | Daniel Minh Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295244325 PECOS PAC ID: 1355600883 Enrollment ID: I20180109000924 |
| Provider Name | Katie Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839880 PECOS PAC ID: 5890055107 Enrollment ID: I20180206002263 |
| Provider Name | Thao Dieu Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346715661 PECOS PAC ID: 5294071833 Enrollment ID: I20190117003736 |
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