MEDICARE: INSITE MEDICAL SOLUTIONS

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	174400000X	Specialist

General Provider Information

NPI Number	:	1649206038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSITE MEDICAL SOLUTIONS

Provider Business Mailing Address
First Line	:	18800 MAIN ST
Second Line	:	STE 103
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1707
Country	:	US
Telephone Number	:	714-369-8494
Fax Number	:

Provider Business Practice Location Address
First Line	:	18800 MAIN ST
Second Line	:	STE 103
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1707
Country	:	US
Telephone Number	:	714-369-8494
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIMBERLY PACE
Credential	:
Telephone Number	:	714-369-8494

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	08/22/2020

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Directions to “INSITE MEDICAL SOLUTIONS ” Practice Location

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