MEDICARE: MAPSONG PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QA0401X	Addiction Medicine (Family Medicine) Physician
2	207R00000X	Internal Medicine Physician
3	2084P0800X	Psychiatry Physician
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1902570864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAPSONG PC

Provider Business Mailing Address
First Line	:	20500 BELSHAW AVENUE DPT XLA 1131
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-3506
Country	:	US
Telephone Number	:	949-409-0407
Fax Number	:	714-699-3265

Provider Business Practice Location Address
First Line	:	1560 BROOKHOLLOW DR STE 104
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5428
Country	:	US
Telephone Number	:	949-409-0407
Fax Number	:	714-699-3265

Authorized Official
Title or Position	:	GENERAL COUNSEL
Name	:	AARON BAILEY
Credential	:
Telephone Number	:	949-409-0407

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	03/06/2024

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