| Corona Clinica Medica Familiar | |
|
217 E 3rd St Corona CA 92879-1438 | |
| (951) 273-1188 | |
| (951) 284-5602 |
| Full Name | Corona Clinica Medica Familiar |
|---|---|
| Speciality | Family Medicine |
| Location | 217 E 3rd St, Corona, California |
| Authorized Official Name and Position | Octavio Ruiz-villalpando (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9512731188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Clinica Medica Familiar 217 E 3rd St Corona CA 92879-1438 Ph: (951) 273-1188 | Corona Clinica Medica Familiar 217 E 3rd St Corona CA 92879-1438 Ph: (951) 273-1188 |
| NPI Number | 1891899175 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 08/17/2015 |
| Medicare PECOS PAC ID | 7911005897 |
|---|---|
| Medicare Enrollment ID | O20080125000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891899175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nabil F Khalil |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649387879 PECOS PAC ID: 7810029949 Enrollment ID: I20100728000987 |
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