| Advocate Family Medicine Clinic | |
|
1330 W Covina Blvd Ste 201 San Dimas CA 91773-3200 | |
| (626) 999-9118 | |
| (626) 999-9133 |
| Full Name | Advocate Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1330 W Covina Blvd Ste 201, San Dimas, California |
| Authorized Official Name and Position | Ameerah A Shalikar (CEO) |
| Authorized Official Contact | 9512384749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Family Medicine Clinic 6191 Davidson St Chino CA 91710-1126 Ph: (951) 238-4749 | Advocate Family Medicine Clinic 1330 W Covina Blvd Ste 201 San Dimas CA 91773-3200 Ph: (626) 999-9118 |
| NPI Number | 1366215683 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 7719330539 |
|---|---|
| Medicare Enrollment ID | O20240129002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366215683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hamed Shalikar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174988935 PECOS PAC ID: 4688932320 Enrollment ID: I20171229001028 |
| Provider Name | Ameerah Ann-shaban Shalikar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275911315 PECOS PAC ID: 0042583536 Enrollment ID: I20190712000691 |
| Provider Name | Joshua Doangou Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235700469 PECOS PAC ID: 1557803590 Enrollment ID: I20240606000652 |
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