| Synovation Medical Group | |
|
13193 Central Ave Ste 220 Chino CA 91710-4179 | |
| (909) 591-0843 | |
| (909) 591-7226 |
| Full Name | Synovation Medical Group |
|---|---|
| Speciality | Pain Medicine |
| Location | 13193 Central Ave Ste 220, Chino, California |
| Authorized Official Name and Position | Clayton A Varga (CEO) |
| Authorized Official Contact | 3054287733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synovation Medical Group Po Box 515800 Los Angeles CA 90051-3100 Ph: (909) 493-3800 | Synovation Medical Group 13193 Central Ave Ste 220 Chino CA 91710-4179 Ph: (909) 591-0843 |
| NPI Number | 1619227055 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 8123917713 |
|---|---|
| Medicare Enrollment ID | O20180221000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619227055 | NPI | - | NPPES |
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