| Compcare Medical Inc. | |
|
15944 Los Serranos Country Club Dr Suite 110 Chino Hills CA 91709-4523 | |
| (909) 606-8767 | |
| (909) 597-8681 |
| Full Name | Compcare Medical Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15944 Los Serranos Country Club Dr, Chino Hills, California |
| Authorized Official Name and Position | Alphonso Benton (PRESIDENT) |
| Authorized Official Contact | 9096068767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compcare Medical Inc. 15944 Los Serranos Country Club Dr Suite 110 Chino Hills CA 91709-4523 Ph: (909) 606-8767 | Compcare Medical Inc. 15944 Los Serranos Country Club Dr Suite 110 Chino Hills CA 91709-4523 Ph: (909) 606-8767 |
| NPI Number | 1669704482 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 06/24/2014 |
| Medicare PECOS PAC ID | 6709914658 |
|---|---|
| Medicare Enrollment ID | O20100513000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669704482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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