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David Michael Pino

Internal Medicine

Allopathic & Osteopathic Physicians

26922 Oso Pkwy Ste 380, Mission Viejo, CA 92691

PECOS Enrollment

This provider is enrolled in PECOS as DAVID PINO.

Based on the most recent information from CMS, provider David Michael Pino is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1669571410
Provider Type
Individual
Full Name
Pino, David Michael
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/21/2006
Last Updated
8/28/2018

Contact Information

Practice Location

26922 Oso Pkwy Ste 380, Mission Viejo, CA 92691

(949) 282-1065

(949) 282-0015

Mailing Location

26922 Oso Pkwy Ste 380, Mission Viejo, CA 92691-5800

(949) 282-1065

(949) 282-0015

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G34344 California

Provider Identifiers

ID	Description	Issuer
ID G34344	Description Other	Issuer CA. STATE LICENCE California

David Michael Pino

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Pham, Duc Quy

Mission Hills Medical Group, Inc.

Seligsohn, Bruce

Nguyen, Joe Thanh

Hauptman, Mark D

El Sokkary, Sherif M

Zebari, Diane Mary-Ann

Lu, Leslie I

Sublime Medical Aesthetics

Underwood-Jolly, Amy L