institution
Pravin J Kansagra Md Inc
Medical Specialty Clinic/Center in Anaheim, California
NPI 1689987521

Pravin J Kansagra Md Inc is a Medical Specialty Clinic/Center based in Anaheim, CA and is specialized in Medical Specialty. Pravin J Kansagra Md Inc practices in Anaheim, CA. The NPI Number for Pravin J Kansagra Md Inc is 1689987521 and holds a License No. A44685 (California).

The current practice location address for Pravin J Kansagra Md Inc is 1020 S Anaheim Blvd, Anaheim, CA and can be reached out via phone at 714-335-8570 and via fax at 714-280-0128.

Location: 1020 S Anaheim Blvd, Anaheim, CA, 92808-2425
institution
Provider Profile Details
NPI Number
1689987521
Provider Name
Pravin J Kansagra Md Inc
Credential
Provider Entity Type
Organization
Address
1020 S Anaheim Blvd, Anaheim, CA, 92808-2425
Phone Number
714-335-8570
Fax Number
714-280-0128
Provider Enumeration Date
07/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A446850 05 CA
4584291 01 AETNA
546651409 01 CA PACIFICARE
546651409 02 01 CA PACIFICARE BEHAVIORAL HEALTH
22139 01 CA WINDSTONE
284863 01 VALUEOPTIONS
1021522 01 CA CIGNA
796687000 01 MAGELLAN
00A446850 01 CA BLUE SHIELD
00A446850 01 CA BLUE CROSS
060111 01 MANAGED HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
1020 S Anaheim Blvd
City
State
Zip
92805-5851
Phone Number
714-335-8570
Fax Number
714-280-0128
person
Provider Business Mailing Address Details
Address
1020 S Anaheim Blvd
City
State
Zip
92805-5851
Phone Number
714-335-8570
Fax Number
714-280-0128
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
A44685 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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