Dr Robert Cm Bourne, MD | |
1300 E Cooley Dr, Colton, CA 92324-3905 | |
(909) 370-4100 | |
(909) 796-4158 |
Full Name | Dr Robert Cm Bourne |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1300 E Cooley Dr, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417985847 | NPI | - | NPPES |
OOA315220 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A31522 (California) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Cm Bourne, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 355-4188 | Dr Robert Cm Bourne, MD 1300 E Cooley Dr, Colton, CA 92324-3905 Ph: (909) 370-4100 |
Carolyn M Doherty, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Mob Suite 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Dr. Febbis Balinos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Arrowhead Family Medical Group, Colton, CA 92324 Phone: 909-580-3370 | |
Carol Hyeun Lee, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Ms. Heather Bohn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper, Colton, CA 92324 Phone: 909-580-3366 Fax: 909-580-3332 | |
Christina Sugirtharaj, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3366 | |
Dr. Ryan Bradley Estacio Ortizo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 E Cooley Dr, Colton, CA 92324 Phone: 909-370-4100 | |
James Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Arrowhead Regional Medical Center, 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-6240 Fax: 909-580-6308 |