| Altais Medical Group - Riverside, Inc. | |
|
4646 Brockton Ave Ste 201 And 202 Riverside CA 92506-0102 | |
| (626) 840-1359 | |
| Not Available |
| Full Name | Altais Medical Group - Riverside, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4646 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Dilip Parekh (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 9515851800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altais Medical Group - Riverside, Inc. 4646 Brockton Ave Ste 201 Riverside CA 92506-0104 Ph: (206) 617-4000 | Altais Medical Group - Riverside, Inc. 4646 Brockton Ave Ste 201 And 202 Riverside CA 92506-0102 Ph: (626) 840-1359 |
| NPI Number | 1518629575 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 8628465424 |
|---|---|
| Medicare Enrollment ID | O20220426001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518629575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | William M Suh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740200351 PECOS PAC ID: 5496790891 Enrollment ID: I20050627000435 |
| Provider Name | Sarah Chae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003872169 PECOS PAC ID: 7719908250 Enrollment ID: I20060329000309 |
| Provider Name | David M Choi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912981598 PECOS PAC ID: 2062519861 Enrollment ID: I20070511000487 |
| Provider Name | Rodolfo E Saenz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538165196 PECOS PAC ID: 7719084367 Enrollment ID: I20070516000541 |
| Provider Name | Colin C Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518118298 PECOS PAC ID: 6103952098 Enrollment ID: I20100330000998 |
| Provider Name | Eric M Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841406568 PECOS PAC ID: 2365575503 Enrollment ID: I20100809000525 |
| Provider Name | Clara Ji Chae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861697427 PECOS PAC ID: 7416141403 Enrollment ID: I20140620001362 |
| Provider Name | Kathleen L Keating |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679839005 PECOS PAC ID: 8820391196 Enrollment ID: I20160120000909 |
| Provider Name | Howard Aubert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912116989 PECOS PAC ID: 3678768223 Enrollment ID: I20161108001229 |
| Provider Name | Leah Gail Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548239932 PECOS PAC ID: 0446152078 Enrollment ID: I20181009001748 |
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