SENIOR DOC CONNECTICUT, PC
NPI 1194575308
Family Medicine in Orange, CA

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

The NPI number for Senior Doc Connecticut, PC is 1194575308. It was assigned to this organization in the NPPES registry on March 22, 2024.

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

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

Active since March 22, 2024

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

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Senior Doc Connecticut, Pc NPPES

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

SENIOR DOC CONNECTICUT, PC (NPI 1194575308) is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since March 2024. The organization lists Angelica Leyla Soto, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1194575308

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSENIOR DOC CONNECTICUT, PC

Location Address2592 N SANTIAGO BLVDOrange, CA 92867-1862

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

Phone(855) 434-7763

Organization SubpartNo

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

Enumeration DateMarch 22, 2024

NPPES CertifiedMarch 22, 2024

✔ NPI 1194575308 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)