METABOLIC MEDICINE & FITNESS CENTER
NPI 1356738769
Preferred Provider Organization in Tustin, CA
- Organization
- Preferred Provider Organization
About METABOLIC MEDICINE & FITNESS CENTER
This page provides the complete NPI Profile along with additional information for Metabolic Medicine & Fitness Center, a provider established in Tustin, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1356738769 assigned on April 2015. The practitioner's primary taxonomy code is 305R00000X with license number A78428B (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Eric H. Pham M.d. (Medica Doctor/ Owner)
- NPI
- 1356738769 Verify this NPI
- Provider Name
- METABOLIC MEDICINE & FITNESS CENTER
- Entity Type
- Organization
- Location Address
- 17542 17TH ST SUITE 410 TUSTIN, CA 92780
- Location Phone
- (714) 541-4343
- Location Fax
- (714) 835-9550
- Mailing Address
- 17542 17TH ST SUITE 410 TUSTIN, CA 92780
- Mailing Phone
- (714) 541-4343
- Mailing Fax
- (714) 835-9550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2015
- Last Update Date
- 06-20-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- A78428B
- License State
- CA
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | CA | TAX I.D. NUMBER |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
TUSTIN, CA 92780
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356738769, enumerated as an "organization" on April 23, 2015.
The provider is located at 17542 17TH ST SUITE 410 TUSTIN, CA 92780 and the phone number is (714) 541-4343.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
