Provider Demographics
NPI:1831848852
Name:DISCOVERYMD OF WASHINGTON PC
Entity type:Organization
Organization Name:DISCOVERYMD OF WASHINGTON PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-912-6977
Mailing Address - Street 1:4281 KATELLA AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3588
Mailing Address - Country:US
Mailing Address - Phone:866-586-0024
Mailing Address - Fax:
Practice Address - Street 1:841 CENTRAL AVE N STE 206
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2014
Practice Address - Country:US
Practice Address - Phone:866-586-0024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty