| Durga Medical Corporation | |
|
850 E Latham Ave Suite 201 Hemet CA 92543 | |
| (951) 925-6657 | |
| (951) 929-0907 |
| Full Name | Durga Medical Corporation |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 850 E Latham Ave, Hemet, California |
| Authorized Official Name and Position | Sanyasi R Ganta (PRESIDENT) |
| Authorized Official Contact | 9519256657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durga Medical Corporation 850 E Latham Ave Suite 201 Hemet CA 92543 Ph: (951) 925-6657 | Durga Medical Corporation 850 E Latham Ave Suite 201 Hemet CA 92543 Ph: (951) 925-6657 |
| NPI Number | 1669523759 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 12/16/2009 |
| Medicare PECOS PAC ID | 2264471382 |
|---|---|
| Medicare Enrollment ID | O20081110000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669523759 | NPI | - | NPPES |
| 00A709850 | Medicaid | CA |
| Provider Name | Sanyasi Rao Ganta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760547392 PECOS PAC ID: 2163336512 Enrollment ID: I20031118001165 |
| Provider Name | Arya Lalithakumari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265874010 PECOS PAC ID: 4688967631 Enrollment ID: I20170809003659 |
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