| Senior Doc Integrated Med, Pc | |
|
2592 N Santiago Blvd Orange CA 92867-1862 | |
| (855) 434-7763 | |
| Not Available |
| Full Name | Senior Doc Integrated Med, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2592 N Santiago Blvd, Orange, California |
| Authorized Official Name and Position | John M Geiss (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8554347763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Doc Integrated Med, Pc 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 | Senior Doc Integrated Med, Pc 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 |
| NPI Number | 1396526026 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 3375990286 |
|---|---|
| Medicare Enrollment ID | O20231115001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396526026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela J Lamotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538166764 PECOS PAC ID: 7416853619 Enrollment ID: I20031209000668 |
| Provider Name | Valerie Grant |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922041102 PECOS PAC ID: 8921093303 Enrollment ID: I20040416000339 |
| Provider Name | James S Pratty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528049608 PECOS PAC ID: 4587695416 Enrollment ID: I20091222000364 |
| Provider Name | Jeffrey Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20120608000288 |
| Provider Name | John Mark Geiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20130529000756 |
| Provider Name | Meera M Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700124773 PECOS PAC ID: 1153561287 Enrollment ID: I20130712000221 |
| Provider Name | Jeffrey Steven Felgner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790122497 PECOS PAC ID: 0648587337 Enrollment ID: I20160630001853 |
| Provider Name | Joey Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699126730 PECOS PAC ID: 4981940145 Enrollment ID: I20190108003373 |
| Provider Name | Joey Asfahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639706211 PECOS PAC ID: 4183005341 Enrollment ID: I20220719001856 |
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