| Eduardo Pineda Md, Inc | |
|
820 N Mountain Ave Ste 108 Upland CA 91786-4163 | |
| (909) 256-4175 | |
| (909) 727-8012 |
| Full Name | Eduardo Pineda Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 N Mountain Ave Ste 108, Upland, California |
| Authorized Official Name and Position | Offir Villafany (OFFICE MANAGER) |
| Authorized Official Contact | 9092564175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Pineda Md, Inc 820 N Mountain Ave Ste 108 Upland CA 91786-4163 Ph: () - | Eduardo Pineda Md, Inc 820 N Mountain Ave Ste 108 Upland CA 91786-4163 Ph: (909) 256-4175 |
| NPI Number | 1174052435 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 11/21/2019 |
| Medicare PECOS PAC ID | 0547538464 |
|---|---|
| Medicare Enrollment ID | O20190311001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174052435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | C53030 (California) | Primary |
| Provider Name | Eduardo Pineda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457327520 PECOS PAC ID: 9335156132 Enrollment ID: I20081120000853 |
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