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NPI Code Detail

MEDICARE: DISCOVERY PRACTICE MANAGEMENT, INC.

MEDICARE: DISCOVERY PRACTICE MANAGEMENT, INC.
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
1323P00000XPsychiatric Residential Treatment Facility1572157TX

General Provider Information

NPI Number : 1033587506
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOVERY PRACTICE MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 18401 VON KARMAN AVE STE 500
Second Line :
City : IRVINE
State : CA
Zip : 92612-8531
Country : US
Telephone Number : 714-828-1800
Fax Number : 714-882-1186
Provider Business Practice Location Address
First Line : 5124 CORINTHIAN BAY DR
Second Line :
City : PLANO
State : TX
Zip : 75093-4001
Country : US
Telephone Number : 714-828-1800
Fax Number : 714-882-1186
Authorized Official
Title or Position : DIRECTOR OF PAYER RELATIONS
Name : MAGDALEN GUSTILO
Credential :
Telephone Number : 714-568-7667
Provider Enumeration Date : 09/14/2015
Last Update Date : 05/09/2023

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Directions to “DISCOVERY PRACTICE MANAGEMENT, INC. ” Practice Location

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