Cajon Medical Group Pc | |
12555 Central Ave Ste A Chino CA 91710-3569 | |
(909) 735-2446 | |
(909) 206-1553 |
Full Name | Cajon Medical Group Pc |
---|---|
Speciality | Internal Medicine |
Location | 12555 Central Ave Ste A, Chino, California |
Authorized Official Name and Position | Syam P Kunam (CEO) |
Authorized Official Contact | 9097352446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cajon Medical Group Pc 1809 W Redlands Blvd Redlands CA 92373-8054 Ph: (909) 735-2446 | Cajon Medical Group Pc 12555 Central Ave Ste A Chino CA 91710-3569 Ph: (909) 735-2446 |
NPI Number | 1073169298 |
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Provider Enumeration Date | 08/13/2019 |
Last Update Date | 08/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073169298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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