Healthcare Provider Details

I. General information

NPI: 1083267736
Provider Name (Legal Business Name): ACCESS PRIMARY CARE PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1168 N EUCLID ST
ANAHEIM CA
92801-1900
US

IV. Provider business mailing address

1168 N EUCLID ST
ANAHEIM CA
92801-1900
US

V. Phone/Fax

Practice location:
  • Phone: 714-888-3628
  • Fax: 714-202-0588
Mailing address:
  • Phone: 714-888-3628
  • Fax: 714-202-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD S. FURMAN
Title or Position: PRESIDENT
Credential:
Phone: 844-310-2247