Kohut Psychiatric Medical Group Inc | |
1800 Medical Center Drive Suite 300 San Bernardino CA 92411 | |
(909) 887-6222 | |
(909) 887-4565 |
Full Name | Kohut Psychiatric Medical Group Inc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1800 Medical Center Drive, San Bernardino, California |
Authorized Official Name and Position | John Joel Kohut (PSYCHIATRY) |
Authorized Official Contact | 9098876222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kohut Psychiatric Medical Group Inc 1800 Medical Center Drive Suite 300 San Bernardino CA 92411 Ph: (909) 887-6222 | Kohut Psychiatric Medical Group Inc 1800 Medical Center Drive Suite 300 San Bernardino CA 92411 Ph: (909) 887-6222 |
NPI Number | 1245259258 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 06/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245259258 | NPI | - | NPPES |
ZZZ59319Z | Other | BLUE SHIELD | |
GR0040560 | Other | CA | MEDICAL |
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