Organization · Type 2 NPI

Sip DC Ca, Inc

Geriatric Medicine (Family Medicine) Physician · Costa Mesa, CA

NPI number 1588056014 Active

Practice location

600 Anton Blvd Ste 1100
Costa Mesa, CA 92626-7100

Call (800) 388-3906 Map

Other practice locations

175 N Jackson Ave Ste 101, San Jose, CA 95116-1909 · (623) 374-7774

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Geriatric Medicine (Family Medicine) Physician Primary	207QG0300X	None listed

Geriatric Medicine (Family Medicine) Physician: 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 home, the office, long-term care settings such as nursing homes, and the hospital.

12 other providers at this address

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NPI record

NPI: 1588056014
Entity type: Organization (Type 2)
Issued: Feb 20, 2015
Last updated: May 25, 2021
Status: Active

Other names

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Md24 Ca Inc · former legal business name
Md24 Ca Inc · former legal business name

Authorized official

Mr. Glenn Fortich
Revenue Cycle Management Director
(626) 893-9730

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588056014

Sip DC Ca, Inc's National Provider Identifier is 1588056014, issued on Feb 20, 2015. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Costa Mesa, CA. The record was last updated on May 25, 2021.