Unknown Individual – Internal Medicine Physician, NPI 1295791093
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Medical Offices, 11100, Warner Avenue, Fountain Valley, Orange County, California, 92708, United States
STE 110
FOUNTAIN VALLEY, CA 927087500
Phone: (714) 557-0997
Fax: (714) 557-0998
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92708)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 312 | 118 |
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