| Community Alliance Medical Group Inc | |
|
34675 Yucaipa Blvd Ste 102 Yucaipa CA 92399-4155 | |
| (909) 850-2411 | |
| Not Available |
| Full Name | Community Alliance Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 34675 Yucaipa Blvd Ste 102, Yucaipa, California |
| Authorized Official Name and Position | John Steinmann (CEO/PRESIDENT) |
| Authorized Official Contact | 9096475277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Alliance Medical Group Inc 213 E Olive Ave Redlands CA 92373-5251 Ph: () - | Community Alliance Medical Group Inc 34675 Yucaipa Blvd Ste 102 Yucaipa CA 92399-4155 Ph: (909) 850-2411 |
| NPI Number | 1699545285 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 0446699896 |
|---|---|
| Medicare Enrollment ID | O20240417003084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699545285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Tonya Ann Yoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013186923 PECOS PAC ID: 6709961725 Enrollment ID: I20120503000185 |
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