| Corona Family Medical Associates | |
|
1157 W Grand Blvd Corona CA 92882-4364 | |
| (951) 737-1000 | |
| (951) 737-1558 |
| Full Name | Corona Family Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1157 W Grand Blvd, Corona, California |
| Authorized Official Name and Position | Imran Hasnain (PRESIDENT) |
| Authorized Official Contact | 9517371000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Family Medical Associates Po Box 3070 Corona CA 92878-3070 Ph: (951) 737-1000 | Corona Family Medical Associates 1157 W Grand Blvd Corona CA 92882-4364 Ph: (951) 737-1000 |
| NPI Number | 1225145816 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 03/08/2011 |
| Medicare PECOS PAC ID | 4183681232 |
|---|---|
| Medicare Enrollment ID | O20041210000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225145816 | NPI | - | NPPES |
| 625788470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00A732183 (California) | Primary |
| Provider Name | Imran Hasnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003850553 PECOS PAC ID: 9739146887 Enrollment ID: I20140917003174 |
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