| Amity Health Direct Primary Care | |
|
1640 Newport Blvd Ste 440 Costa Mesa CA 92627-3786 | |
| (949) 791-8888 | |
| Not Available |
| Full Name | Amity Health Direct Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1640 Newport Blvd Ste 440, Costa Mesa, California |
| Authorized Official Name and Position | Trevor Tsay (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9497918888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amity Health Direct Primary Care 1640 Newport Blvd Ste 440 Costa Mesa CA 92627-3786 | Amity Health Direct Primary Care 1640 Newport Blvd Ste 440 Costa Mesa CA 92627-3786 Ph: (949) 791-8888 |
| NPI Number | 1538904123 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Medicare PECOS PAC ID | 6002347135 |
|---|---|
| Medicare Enrollment ID | O20241001000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538904123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Trevor Tsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760944110 PECOS PAC ID: 1658714985 Enrollment ID: I20241001000962 |
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