Eminence Centers For Health | |
121 S 7th Ave Barstow CA 92311-3058 | |
(760) 581-5600 | |
Not Available |
Full Name | Eminence Centers For Health |
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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 |
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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 |
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Provider Enumeration Date | 08/11/2022 |
Last Update Date | 05/02/2023 |
Medicare PECOS PAC ID | 7113388158 |
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Medicare Enrollment ID | O20230807002423 |
Identifier | Type | State | Issuer |
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1285362863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Leslie A Langley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255779120 PECOS PAC ID: 9638487952 Enrollment ID: I20201005002033 |
Windy City Medical Clinic A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Melissa Ave Ste A, Barstow, CA 92311 Phone: 760-255-2400 Fax: 760-957-7517 | |