SENIOR DOC GEORGIA, PC
NPI 1134990682
Family Medicine in Orange, CA

Q: What is Senior Doc Georgia, PC's NPI number?

The NPI number for Senior Doc Georgia, PC is 1134990682. It was assigned to this organization in the NPPES registry on January 12, 2024.

Q: What is Senior Doc Georgia, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 12, 2024

2592 N SANTIAGO BLVD, ORANGE, CA 92867(855) 434-7763(949) 281-5550 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Senior Doc Georgia, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIOR DOC GEORGIA, PC (NPI 1134990682) is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since January 2024. The organization lists Angelica L Soto, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1134990682

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSENIOR DOC GEORGIA, PC

Location Address2592 N SANTIAGO BLVDOrange, CA 92867-1862

Mailing Address2592 N Santiago BlvdOrange, CA 92867-1862 · (855) 434-7763 · Fax (949) 281-5550

Phone(855) 434-7763

Fax(949) 281-5550

Organization SubpartNo

Authorized OfficialAngelica L SotoCredentialing Specialist · (855) 434-7763

Enumeration DateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1134990682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2592 N SANTIAGO BLVD, Orange, CA 92867

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE PUKINI

Nurse Practitioner (Psychiatric/Mental Health)