| Community Physicians Medical Llc | |
|
406 E Vanderbilt Way San Bernardino CA 92408-3552 | |
| (909) 433-0678 | |
| (909) 433-0680 |
| Full Name | Community Physicians Medical Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 406 E Vanderbilt Way, San Bernardino, California |
| Authorized Official Name and Position | Irvin Olivares (MANAGER) |
| Authorized Official Contact | 9094330678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Medical Llc 406 E Vanderbilt Way San Bernardino CA 92408-3552 Ph: (909) 433-0678 | Community Physicians Medical Llc 406 E Vanderbilt Way San Bernardino CA 92408-3552 Ph: (909) 433-0678 |
| NPI Number | 1306320700 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306320700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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