Provider Demographics
NPI:1932318599
Name:THOMAS BADIN MD INC
Entity Type:Organization
Organization Name:THOMAS BADIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BADIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-835-9441
Mailing Address - Street 1:801 N TUSTIN AVE
Mailing Address - Street 2:SUITE 703
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3612
Mailing Address - Country:US
Mailing Address - Phone:714-835-9441
Mailing Address - Fax:714-242-2083
Practice Address - Street 1:801 N TUSTIN AVE
Practice Address - Street 2:SUITE 703
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3612
Practice Address - Country:US
Practice Address - Phone:714-835-9441
Practice Address - Fax:714-242-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D0965453OtherCLIA