Provider Demographics
NPI:1497341465
Name:MEDCARE PARTNERS, INC.
Entity Type:Organization
Organization Name:MEDCARE PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUAN
Authorized Official - Middle Name:DUY
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:833-569-2538
Mailing Address - Street 1:17542 E. 17TH ST.
Mailing Address - Street 2:SUITE 410
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780
Mailing Address - Country:US
Mailing Address - Phone:833-569-2538
Mailing Address - Fax:657-900-2161
Practice Address - Street 1:17542 E. 17TH ST.
Practice Address - Street 2:SUITE 410
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780
Practice Address - Country:US
Practice Address - Phone:833-569-2538
Practice Address - Fax:657-900-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization