Healthcare Provider Details

I. General information

NPI: 1245880574
Provider Name (Legal Business Name): SENIORS FIRST MEDICAL CLINICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1042 E CHAPMAN AVE
ORANGE CA
92866-2111
US

IV. Provider business mailing address

201 S BROADWAY
SANTA ANA CA
92701-5633
US

V. Phone/Fax

Practice location:
  • Phone: 714-602-9224
  • Fax:
Mailing address:
  • Phone: 714-571-4941
  • Fax: 714-571-4993

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: AJAY G. MEKA
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 714-571-4941