Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Senior Doc Illinois PC

Organization Family Medicine Physician · NPI 1407621501

Senior Doc Illinois PC is a Family Medicine Physician in Orange, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2592 N Santiago Blvd
Orange, CA 92867-1862
Phone: (855) 434-7763
Fax: (949) 281-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407621501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Geiss — Ceo · (855) 434-7763
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address2592 N Santiago Blvd, Orange, CA 92867-1862

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