| Baldy View Healthcare | |
|
1780 Town And Country Dr Suite #103 Norco CA 92860-3617 | |
| (951) 270-0757 | |
| (951) 270-0758 |
| Full Name | Baldy View Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1780 Town And Country Dr, Norco, California |
| Authorized Official Name and Position | Ramon Fakhoury (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9512700757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldy View Healthcare Po Box 579 Norco CA 92860-0579 Ph: (951) 270-0757 | Baldy View Healthcare 1780 Town And Country Dr Suite #103 Norco CA 92860-3617 Ph: (951) 270-0757 |
| NPI Number | 1912132754 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 05/22/2009 |
| Medicare PECOS PAC ID | 2769896166 |
|---|---|
| Medicare Enrollment ID | O20210126002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912132754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | FNP 39009 (California) | Primary |
| Provider Name | Ramon F Fakhoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427266691 PECOS PAC ID: 9931257367 Enrollment ID: I20090423000226 |
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