Packard, David M
Packard, David M is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 250, Mission Viejo CA 92691-6384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Packard, David M can be contacted via phone (949) 364-0644.Contact Information
Primary practice address
26800 Crown Valley Pkwy Suite 250
Mission Viejo CA 92691-6384
Phone: (949) 364-0644
Fax: (949) 364-1520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A73876 | California |
Profile Details
| NPI number | 1558307173 |
|---|---|
| LBN Legal business name | Packard, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Nov 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558307173 | NPPES |
| California | MEDICAID | GR0100620 |
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