| Primecare Global Services Corp | |
|
5493 Stoneview Rd Rancho Cucamonga CA 91739-8933 | |
| (714) 863-9560 | |
| Not Available |
| Full Name | Primecare Global Services Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5493 Stoneview Rd, Rancho Cucamonga, California |
| Authorized Official Name and Position | Ernest Ashu Takang (DIRECTOR) |
| Authorized Official Contact | 7148639560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Global Services Corp 5493 Stoneview Rd Rancho Cucamonga CA 91739-8933 Ph: (714) 863-9560 | Primecare Global Services Corp 5493 Stoneview Rd Rancho Cucamonga CA 91739-8933 Ph: (714) 863-9560 |
| NPI Number | 1912661174 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Medicare PECOS PAC ID | 4981085586 |
|---|---|
| Medicare Enrollment ID | O20220713003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912661174 | NPI | - | NPPES |
| Provider Name | Ernest Takang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467738963 PECOS PAC ID: 9537553417 Enrollment ID: I20220221000364 |
| Provider Name | Kemerick Takang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588284251 PECOS PAC ID: 3072981596 Enrollment ID: I20221115000253 |
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