| Bahaa Girgis, M.d., Inc | |
|
9194 Magnolia Ave Riverside CA 92503-3872 | |
| (951) 352-2421 | |
| Not Available |
| Full Name | Bahaa Girgis, M.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9194 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Bahaa Bolous Girgis (CEO) |
| Authorized Official Contact | 9513522421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahaa Girgis, M.d., Inc 11 Whitecliff Laguna Niguel CA 92677-9236 Ph: (951) 352-2421 | Bahaa Girgis, M.d., Inc 9194 Magnolia Ave Riverside CA 92503-3872 Ph: (951) 352-2421 |
| NPI Number | 1447301833 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 09/24/2014 |
| Medicare PECOS PAC ID | 4688726334 |
|---|---|
| Medicare Enrollment ID | O20090710000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447301833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A64665 (California) | Primary |
| Provider Name | Bahaa B Girgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154519213 PECOS PAC ID: 2860544590 Enrollment ID: I20090710000221 |
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