MEDICARE: ALISON SIMS M.D., 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
1	261QU0200X	Urgent Care Clinic/Center	G72482	CA

General Provider Information

NPI Number	:	1700911484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALISON SIMS M.D., INC.

Provider Business Mailing Address
First Line	:	701 AVOCADO AVE
Second Line	:
City	:	CORONA DEL MAR
State	:	CA
Zip	:	92625-1938
Country	:	US
Telephone Number	:	949-280-7328
Fax Number	:

Provider Business Practice Location Address
First Line	:	2075 SAN JOAQUIN HILLS RD
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6505
Country	:	US
Telephone Number	:	949-760-9222
Fax Number	:	949-644-4312

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALISON SIMS
Credential	:	M.D.
Telephone Number	:	949-280-7328

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	02/02/2011

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