| Bardia Sadr Md A Professional Corp | |
|
800 S Main St Corona CA 92882-3420 | |
| (951) 737-4343 | |
| Not Available |
| Full Name | Bardia Sadr Md A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 S Main St, Corona, California |
| Authorized Official Name and Position | Bardia Sadr (OWNER) |
| Authorized Official Contact | 9493103701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardia Sadr Md A Professional Corp 131 Carmine Irvine CA 92618-0878 Ph: (949) 310-3701 | Bardia Sadr Md A Professional Corp 800 S Main St Corona CA 92882-3420 Ph: (951) 737-4343 |
| NPI Number | 1265976351 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638453921 |
|---|---|
| Medicare Enrollment ID | O20170306001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265976351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bardia Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912398785 PECOS PAC ID: 3971897992 Enrollment ID: I20160812001604 |
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