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SIP DC CA INC NPI 1588056014


NPI Information

NPI: 1588056014
Provider Name: SIP DC CA, INC

Former Legal Business Name: MD24 CA INC

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
600 ANTON BLVD STE 1100
COSTA MESA, CA
ZIP 92626
Phone: (800) 388-3906
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SIP DC CA, INC is a geriatric medicine family medicine in Costa Mesa, CA. The provider is 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. SIP DC CA, INC NPI is 1588056014. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Md24 Ca Inc.

The provider's business location address is:

600 ANTON BLVD STE 1100
COSTA MESA, CA
ZIP 92626-100
Phone: (800) 388-3906

The provider's authorized official is Glenn Fortich .
The authorized official title is Revenue Cycle Management Director and has the following contact phone number (626) 893-9730.

The enumeration date for this NPI number is 2/20/2015 and was last updated on 5/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.