| Grand Terrace Chiropractic | |
|
12139 Mount Vernon Ave Ste 100 Grand Terrace CA 92313-5519 | |
| (909) 783-4950 | |
| Not Available |
| Full Name | Grand Terrace Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12139 Mount Vernon Ave Ste 100, Grand Terrace, California |
| Authorized Official Name and Position | Zakari Larbi Bissani (PRESIDENT) |
| Authorized Official Contact | 9097834950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Terrace Chiropractic 12139 Mount Vernon Ave Ste 100 Grand Terrace CA 92313-5519 Ph: (909) 783-4950 | Grand Terrace Chiropractic 12139 Mount Vernon Ave Ste 100 Grand Terrace CA 92313-5519 Ph: (909) 783-4950 |
| NPI Number | 1306457916 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 09/15/2020 |
| Medicare PECOS PAC ID | 6901224187 |
|---|---|
| Medicare Enrollment ID | O20200921001803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306457916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Zakari Larbi Bissani |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982254512 PECOS PAC ID: 7719305994 Enrollment ID: I20200921001847 |
San Manuel Indian Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 Fax: 909-744-3960 | |
Riverside-san Bernardino County Indian Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 Fax: 951-252-6879 | |
Medrecord Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22182 Barton Rd, Grand Terrace, CA 92313 Phone: 909-800-0025 | |
Sasn Manuel Indian Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 |