| Ann Ewalt Hamilton Md Medical Corp | |
|
4294 Orange St Riverside CA 92501-3827 | |
| (951) 788-0210 | |
| (951) 788-6330 |
| Full Name | Ann Ewalt Hamilton Md Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 4294 Orange St, Riverside, California |
| Authorized Official Name and Position | Ann Ewalt Hamilton (DIRECTOR CEO) |
| Authorized Official Contact | 9517880210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Ewalt Hamilton Md Medical Corp 4294 Orange St Riverside CA 92501-3827 Ph: (951) 788-0210 | Ann Ewalt Hamilton Md Medical Corp 4294 Orange St Riverside CA 92501-3827 Ph: (951) 788-0210 |
| NPI Number | 1700871001 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700871001 | NPI | - | NPPES |
| 00G224280 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G22428 (California) | Primary |
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