| Elite Family Medicine | |
|
345 N Riverside Ave Rialto CA 92376-5925 | |
| (909) 707-5920 | |
| (909) 707-5983 |
| Full Name | Elite Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 345 N Riverside Ave, Rialto, California |
| Authorized Official Name and Position | Daniel Aminpour (OWNER) |
| Authorized Official Contact | 9097075920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Family Medicine 345 N Riverside Ave Rialto CA 92376-5925 Ph: (909) 707-5920 | Elite Family Medicine 345 N Riverside Ave Rialto CA 92376-5925 Ph: (909) 707-5920 |
| NPI Number | 1053003087 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 7911369236 |
|---|---|
| Medicare Enrollment ID | O20230817001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053003087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Aminpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255960050 PECOS PAC ID: 2961864293 Enrollment ID: I20230818001078 |
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