| |
701 Highland Springs Ave Ste 5 Beaumont CA 92223-2550 | |
(951) 845-2342 | |
(951) 845-0084 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 701 Highland Springs Ave Ste 5, Beaumont, California |
Authorized Official Name and Position | Devadas S Moses (PHYSICIAN) |
Authorized Official Contact | 9095337295 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
25406 Cole St Loma Linda CA 92354-3186 Ph: (909) 533-7295 | 701 Highland Springs Ave Ste 5 Beaumont CA 92223-2550 Ph: (951) 845-2342 |
NPI Number | 1457117798 |
---|---|
Provider Enumeration Date | 02/26/2024 |
Last Update Date | 08/15/2024 |
Medicare PECOS PAC ID | 9032641063 |
---|---|
Medicare Enrollment ID | O20241016000840 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457117798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Devadas E Moses |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023177607 PECOS PAC ID: 9335295500 Enrollment ID: I20090914000544 |
Merrycure Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37645 Mulligan Dr, Beaumont, CA 92223 Phone: 909-353-8821 | |
Aha Medical Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Highland Springs Ave Ste 301, Beaumont, CA 92223 Phone: 909-890-0407 | |
Mariam Moghadam, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Highland Springs Ave., Suite #306, Beaumont, CA 92223 Phone: 951-769-2222 Fax: 951-769-2204 | |