Saint Mariam Medical Clinic,Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A68093 Issued in CA

Legal business name

SAINT MARIAM MEDICAL CLINIC,INC

Practice address

4950 Barranca Pkwy Ste 204
Irvine, CA 92604-4687

Phone

(949) 857-1871

Fax

(949) 857-1879

NPI assigned

Jul 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hanaa Fam, M.D.

Title

Owner

Phone

(949) 857-1871

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1851316707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY STE 204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044687",
            "telephone_number": "949-857-1871",
            "fax_number": "949-857-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY STE 204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044687",
            "telephone_number": "949-857-1871",
            "fax_number": "949-857-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARIAM MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "HANAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-857-1871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A68093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.