| Eminence Centers For Health | |
|
121 S 7th Ave Barstow CA 92311-3058 | |
| (760) 581-5600 | |
| Not Available |
| Full Name | Eminence Centers For Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 S 7th Ave, Barstow, California |
| Authorized Official Name and Position | Haissam Masri (CEO) |
| Authorized Official Contact | 7142993903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eminence Centers For Health Po Box 231833 Las Vegas NV 89105-1833 Ph: (760) 581-5600 | Eminence Centers For Health 121 S 7th Ave Barstow CA 92311-3058 Ph: (760) 581-5600 |
| NPI Number | 1285362863 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 7113388158 |
|---|---|
| Medicare Enrollment ID | O20230807002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285362863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Leslie A Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255779120 PECOS PAC ID: 9638487952 Enrollment ID: I20201005002033 |
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