Look up the most recent NPI and PECOS records

Michael Setareh Md A Medical Corporation

Family Medicine

Allopathic & Osteopathic Physicians

3068 Madeira Ave, Costa Mesa, CA 92626-2322

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Setareh Md A Medical Corporation does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1467117275
Provider Type
Organization
Full Name
Michael Setareh Md A Medical Corporation

Subpart
No
Enumeration Date
11/5/2021
Last Updated
11/5/2021

Contact Information

Practice Location

3068 Madeira Ave, Costa Mesa, CA 92626-2322

(499) 515-9377

Unlisted Fax

Mailing Location

3068 Madeira Ave, Costa Mesa, CA 92626-2322

(499) 515-9377

Unlisted Fax

Authorized Official

Setareh, Michael (President)

(499) 515-9377

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Michael Setareh Md A Medical Corporation

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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Ferguson, James Homer

Pollack, Stella D

Nguyen, Gina-Nga T

Memon, Aisha

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Jeon, John

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