Cajon Medical Group Pc | |
1738 N Waterman Ave Ste 7&8 San Bernardino CA 92404-5131 | |
(909) 882-1269 | |
(909) 882-5699 |
Full Name | Cajon Medical Group Pc |
---|---|
Speciality | Internal Medicine |
Location | 1738 N Waterman Ave Ste 7&8, San Bernardino, California |
Authorized Official Name and Position | Nandita Puchakayala (CEO) |
Authorized Official Contact | 9099414870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cajon Medical Group Pc 1809 W Redlands Blvd Redlands CA 92373-8054 Ph: () - | Cajon Medical Group Pc 1738 N Waterman Ave Ste 7&8 San Bernardino CA 92404-5131 Ph: (909) 882-1269 |
NPI Number | 1568052496 |
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Provider Enumeration Date | 01/25/2021 |
Last Update Date | 01/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568052496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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