San Martin Deporres Medical Group in Santa Ana - Geriatric Medicine

San Martin Deporres Medical Group - NPI 1861513525

San Martin Deporres Medical Group is a Geriatric Medicine in Santa Ana, California. San Martin Deporres Medical Group practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for San Martin Deporres Medical Group is 1861513525. The last update date is 2011-03-09.

San Martin Deporres Medical Group's current location address is 1701 E Mcfadden Ave, Santa Ana, California. You can contact this provider via phone number 7149536430. The mailing address for San Martin Deporres Medical Group is 1701 E Mcfadden Ave, Santa Ana, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Martin Deporres Medical Group
Address 1701 E Mcfadden Ave, Santa Ana, California
Phone Number 7149536430
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Flores N Jacob
Credentials M.D.
Telephone Number 7149536430

NPI Number Detail

NPI Number 1861513525
Provider Enumeration Date 2007-04-02
Last Updated Date 2011-03-09

Provider Mailing Address Detail

Address 1701 E Mcfadden Ave
City Santa Ana
State California (CA)
Post Code 927054647
Phone Number 7149536430
Fax Number

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No A60865
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

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FAQs about San Martin Deporres Medical Group

What is the unique 10-digit identifier code issued to San Martin Deporres Medical Group by the Centers for Medicare & Medicaid Services?

The San Martin Deporres Medical Group has been assigned the NPI (National Provider Identifier) 1861513525 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where San Martin Deporres Medical Group is located?

The San Martin Deporres Medical Group is situated at the following address: 1701 E Mcfadden Ave, Santa Ana, CA, 927054647.

What is San Martin Deporres Medical Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for San Martin Deporres Medical Group is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861513525 to San Martin Deporres Medical Group?

The Centers for Medicare & Medicaid Services originally issued the 1861513525 to San Martin Deporres Medical Group on 2007-04-02.

As of what date were the San Martin Deporres Medical Group's details last updated?

The information pertaining to the San Martin Deporres Medical Group, including its address, specialty, and other details, was most recently updated on 2011-03-09.

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