Bear Creek Integrated Center Inc | |
39589 Los Alamos Rd Ste B Murrieta CA 92563-5026 | |
(951) 216-8768 | |
Not Available |
Full Name | Bear Creek Integrated Center Inc |
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Speciality | Family Medicine |
Location | 39589 Los Alamos Rd Ste B, Murrieta, California |
Authorized Official Name and Position | Omar Garcia (PRESIDENT) |
Authorized Official Contact | 9512168768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bear Creek Integrated Center Inc 39589 Los Alamos Rd Ste B Murrieta CA 92563-5026 Ph: () - | Bear Creek Integrated Center Inc 39589 Los Alamos Rd Ste B Murrieta CA 92563-5026 Ph: (951) 216-8768 |
NPI Number | 1619610086 |
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Provider Enumeration Date | 04/14/2022 |
Last Update Date | 04/26/2022 |
Medicare PECOS PAC ID | 9537548870 |
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Medicare Enrollment ID | O20220616002713 |
Identifier | Type | State | Issuer |
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1619610086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Ellexis Emily Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336671536 PECOS PAC ID: 9638584360 Enrollment ID: I20210210002439 |
Provider Name | Allison Nicole Redondo Lugo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386234789 PECOS PAC ID: 3678968773 Enrollment ID: I20220325002003 |
Provider Name | Armando Flores |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225756919 PECOS PAC ID: 0749665552 Enrollment ID: I20220914003847 |
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