| Almoutaz Bellah Shakally Md, Inc | |
|
802 Magnolia Ave Ste 200 Corona CA 92879-3144 | |
| (951) 444-7006 | |
| (909) 247-3340 |
| Full Name | Almoutaz Bellah Shakally Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 802 Magnolia Ave Ste 200, Corona, California |
| Authorized Official Name and Position | Almoutaz Bellah Shakally (OWNER) |
| Authorized Official Contact | 9514447006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Almoutaz Bellah Shakally Md, Inc 802 Magnolia Ave Ste 200 Corona CA 92879-3144 Ph: (951) 444-7006 | Almoutaz Bellah Shakally Md, Inc 802 Magnolia Ave Ste 200 Corona CA 92879-3144 Ph: (951) 444-7006 |
| NPI Number | 1821612565 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 2860818580 |
|---|---|
| Medicare Enrollment ID | O20201230002559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821612565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Almoutaz Bellah Shakally |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861632168 PECOS PAC ID: 5092986109 Enrollment ID: I20191008003636 |
| Provider Name | Tahir Haytoglu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932609054 PECOS PAC ID: 3375805468 Enrollment ID: I20210719001769 |
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