| |
255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 | |
(951) 765-1727 | |
(951) 929-3601 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 255 N Gilbert St, Hemet, California |
Authorized Official Name and Position | David Joseph Mata (PRESIDENT) |
Authorized Official Contact | 9517651727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 Ph: (951) 765-1727 | 255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 Ph: (951) 765-1727 |
NPI Number | 1437452539 |
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Provider Enumeration Date | 12/10/2010 |
Last Update Date | 12/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437452539 | NPI | - | NPPES |
00G641830 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G64183 (California) | Primary |
Sreenivasa R. Nakka, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 949 Calhoun Pl, Ste A, Hemet, CA 92543 Phone: 951-929-1177 Fax: 951-765-9111 | |
Mdcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1278 E Latham Ave, Hemet, CA 92543 Phone: 951-537-9868 | |
Guilherme R Carvalho M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Santa Fe St, Ste A, Hemet, CA 92543 Phone: 951-652-6891 | |
Tri-state Community Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N San Jacinto St Ste P, Hemet, CA 92543 Phone: 951-929-4000 | |