| Ace Gastroenterology Associates Inc | |
|
2006 N. Riverside Avenue Rialto CA 92377 | |
| (909) 881-3032 | |
| Not Available |
| Full Name | Ace Gastroenterology Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2006 N. Riverside Avenue, Rialto, California |
| Authorized Official Name and Position | Kumar Balasubramaniam (OWNER) |
| Authorized Official Contact | 9098517676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Gastroenterology Associates Inc 1559 Marion Rd Redlands CA 92374-6332 Ph: (909) 881-3032 | Ace Gastroenterology Associates Inc 2006 N. Riverside Avenue Rialto CA 92377 Ph: (909) 881-3032 |
| NPI Number | 1447671714 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 3375776867 |
|---|---|
| Medicare Enrollment ID | O20140508000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447671714 | NPI | - | NPPES |
| 00A447160 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A447160 (California) | Primary |
| Provider Name | Michael Walter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154342699 PECOS PAC ID: 1951321553 Enrollment ID: I20051128000784 |
| Provider Name | Kumaravelu Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134184708 PECOS PAC ID: 8022197565 Enrollment ID: I20081111000556 |
| Provider Name | Onpan Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639195746 PECOS PAC ID: 3971783507 Enrollment ID: I20110214000648 |
| Provider Name | Sunny J Sircar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205199650 PECOS PAC ID: 3678723236 Enrollment ID: I20130416000362 |
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