| C Damirchi M D Inc | |
|
355 E 21st St Ste F San Bernardino CA 92404-4851 | |
| (909) 886-5251 | |
| Not Available |
| Full Name | C Damirchi M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 355 E 21st St Ste F, San Bernardino, California |
| Authorized Official Name and Position | Scarlette Damirchi (ADMINISTRATOR) |
| Authorized Official Contact | 9499337639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Damirchi M D Inc 355 E 21st St Ste F San Bernardino CA 92404-4851 Ph: (909) 886-5251 | C Damirchi M D Inc 355 E 21st St Ste F San Bernardino CA 92404-4851 Ph: (909) 886-5251 |
| NPI Number | 1639267644 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 4981753506 |
|---|---|
| Medicare Enrollment ID | O20090601000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639267644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cyrus Damirchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891883401 PECOS PAC ID: 4587713896 Enrollment ID: I20090515000434 |
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