Express Care Medical Group, A Professional Corporation | |
2131 Herndon Ave Ste 103 Clovis CA 93611-6304 | |
(559) 578-8844 | |
(559) 578-8899 |
Full Name | Express Care Medical Group, A Professional Corporation |
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Speciality | Internal Medicine |
Location | 2131 Herndon Ave Ste 103, Clovis, California |
Authorized Official Name and Position | Dennis Malate Redubla (OWNER) |
Authorized Official Contact | 5598402727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Express Care Medical Group, A Professional Corporation 807 N Van Ness Ave Fresno CA 93728-3425 Ph: (559) 840-2727 | Express Care Medical Group, A Professional Corporation 2131 Herndon Ave Ste 103 Clovis CA 93611-6304 Ph: (559) 578-8844 |
NPI Number | 1124886882 |
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Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 7315389376 |
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Medicare Enrollment ID | O20240522004198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124886882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dennis M Redubla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053633206 PECOS PAC ID: 7719271105 Enrollment ID: I20160808001991 |
Provider Name | Athena M Oliquiano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730722653 PECOS PAC ID: 2365827763 Enrollment ID: I20220921003068 |
Provider Name | Rachel Joy S Polines |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265174122 PECOS PAC ID: 0749673663 Enrollment ID: I20231026001291 |
Provider Name | Harpreet K Sahota |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134371867 PECOS PAC ID: 6608213137 Enrollment ID: I20240320001555 |
Provider Name | Manpreet Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982166302 PECOS PAC ID: 0042652000 Enrollment ID: I20240524000662 |
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