| Dr Rick M Hirsch Do A Professional Corporation | |
|
8211 Rochester Ave Ste 101 Rancho Cucamonga CA 91730-0742 | |
| (909) 945-2425 | |
| Not Available |
| Full Name | Dr Rick M Hirsch Do A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8211 Rochester Ave Ste 101, Rancho Cucamonga, California |
| Authorized Official Name and Position | Rick M Hirsch (OWNER / PHYSICIAN) |
| Authorized Official Contact | 9099452425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rick M Hirsch Do A Professional Corporation 8211 Rochester Ave Ste 101 Rancho Cucamonga CA 91730-0742 Ph: (909) 945-2425 | Dr Rick M Hirsch Do A Professional Corporation 8211 Rochester Ave Ste 101 Rancho Cucamonga CA 91730-0742 Ph: (909) 945-2425 |
| NPI Number | 1548726946 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 1052652179 |
|---|---|
| Medicare Enrollment ID | O20190417002253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548726946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rick M Hirsch |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497774954 PECOS PAC ID: 1759294465 Enrollment ID: I20031110000178 |
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