| Shafa Medical Center Inc | |
|
26730 Towne Centre Dr Ste 102 Foothill Ranch CA 92610 | |
| (949) 559-5153 | |
| (949) 559-5252 |
| Full Name | Shafa Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 26730 Towne Centre Dr Ste 102, Foothill Ranch, California |
| Authorized Official Name and Position | Hamid Eskandari (OWNER) |
| Authorized Official Contact | 9495595153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shafa Medical Center Inc 26730 Towne Centre Dr Ste 102 Foothill Ranch CA 92610-2857 Ph: (949) 559-5153 | Shafa Medical Center Inc 26730 Towne Centre Dr Ste 102 Foothill Ranch CA 92610 Ph: (949) 559-5153 |
| NPI Number | 1750693560 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 08/13/2023 |
| Medicare PECOS PAC ID | 8921131723 |
|---|---|
| Medicare Enrollment ID | O20100730000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750693560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A101402 (California) | Primary |
| Provider Name | Hamid Eskandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063662682 PECOS PAC ID: 5890852313 Enrollment ID: I20090326000490 |
| Provider Name | Ruth F Herdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760931448 PECOS PAC ID: 1153601802 Enrollment ID: I20161215000310 |
| Provider Name | Arnold M Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518417633 PECOS PAC ID: 6406139153 Enrollment ID: I20170203001464 |
| Provider Name | Parya Visheh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609554476 PECOS PAC ID: 4486017019 Enrollment ID: I20230831003864 |
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