| Cosent | |
|
401 E 21st St San Bernardino CA 92404-4845 | |
| (909) 881-3333 | |
| Not Available |
| Full Name | Cosent |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 E 21st St, San Bernardino, California |
| Authorized Official Name and Position | Marlise Negrette (ACCOUNT MANAGER) |
| Authorized Official Contact | 9097935511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosent 6627 Murrietta Ct Rancho Cucamonga CA 91739-9556 Ph: (909) 793-5511 | Cosent 401 E 21st St San Bernardino CA 92404-4845 Ph: (909) 881-3333 |
| NPI Number | 1659941995 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 2961892930 |
|---|---|
| Medicare Enrollment ID | O20211206002160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659941995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Justin Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447447818 PECOS PAC ID: 1052489077 Enrollment ID: I20081003000675 |
| Provider Name | Talal Samaan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356699821 PECOS PAC ID: 2668609215 Enrollment ID: I20131205001825 |
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