| |
995 W Foothill Blvd Claremont CA 91711-3304 | |
(909) 399-1900 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 995 W Foothill Blvd, Claremont, California |
Authorized Official Name and Position | Mohitkumar Ardeshana (MEDICAL DIRECTOR) |
Authorized Official Contact | 5625690678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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995 W Foothill Blvd Claremont CA 91711-3304 Ph: () - | 995 W Foothill Blvd Claremont CA 91711-3304 Ph: (909) 399-1900 |
NPI Number | 1730673732 |
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Provider Enumeration Date | 06/22/2018 |
Last Update Date | 08/01/2022 |
Medicare PECOS PAC ID | 1052669546 |
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Medicare Enrollment ID | O20180731001154 |
Identifier | Type | State | Issuer |
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1730673732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mohitkumar Ardeshana |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467867135 PECOS PAC ID: 6901176742 Enrollment ID: I20170726003510 |
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