Organization
SIP DC CA, INC
Active
Organization
SIP DC CA, INC
Active
Other names
MD24 CA Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN FORTICH (REVENUE CYCLE MANAGEMENT DIRECTOR)
(626) 893-9730
Entity
Organization
Contact information
Practice address
600 ANTON BLVD STE 1100, COSTA MESA, CA 92626-7100
(800) 388-3906
Mailing address
600 ANTON BLVD STE 1100, COSTA MESA, CA 92626-7100
(800) 388-3906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
05/25/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up