Provider Demographics
NPI:1871583575
Name:PLANAS, INA (MD)
Entity type:Individual
Prefix:DR
First Name:INA
Middle Name:
Last Name:PLANAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11190 WARNER AVE
Mailing Address - Street 2:SUITE 411
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4019
Mailing Address - Country:US
Mailing Address - Phone:714-435-0351
Mailing Address - Fax:714-825-0109
Practice Address - Street 1:11190 WARNER AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4019
Practice Address - Country:US
Practice Address - Phone:714-432-9090
Practice Address - Fax:714-432-9095
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA52227207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A522270Medicaid
CAA77230Medicare UPIN