| Cmg Express Care, Inc | |
|
4100 Central Ave #101 Riverside CA 92506-2933 | |
| (951) 824-7887 | |
| (951) 680-1606 |
| Full Name | Cmg Express Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4100 Central Ave, Riverside, California |
| Authorized Official Name and Position | Andro N Sharobiem (PRESIDENT) |
| Authorized Official Contact | 9518247887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Express Care, Inc 4100 Central Ave #101 Riverside CA 92506-2933 Ph: (951) 824-7887 | Cmg Express Care, Inc 4100 Central Ave #101 Riverside CA 92506-2933 Ph: (951) 824-7887 |
| NPI Number | 1962746404 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 11/21/2012 |
| Medicare PECOS PAC ID | 4981857752 |
|---|---|
| Medicare Enrollment ID | O20130102000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962746404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A100752 (California) | Primary |
| Provider Name | Timothy Thien Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336460914 PECOS PAC ID: 9436373859 Enrollment ID: I20140604002353 |
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