MEDICARE: ACCESS HEALTHCARE ASSOCIATES A MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20A8857	CA

General Provider Information

NPI Number	:	1013109834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HEALTHCARE ASSOCIATES A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	5 HUTTON CENTRE DR STE 950
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92707-8744
Country	:	US
Telephone Number	:	714-702-5145
Fax Number	:

Provider Business Practice Location Address
First Line	:	9233 W. PICO BLVD.
Second Line	:	SUITE #230
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1385
Country	:	US
Telephone Number	:	310-356-8146
Fax Number	:	310-356-8142

Authorized Official
Title or Position	:	INDIRECT OWNER
Name	:	MICHAEL STONE
Credential	:
Telephone Number	:	310-355-0037

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	05/04/2026

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