| Family Healthcare Of Corona | |
|
1810 Fullerton Ave Ste 105 Corona CA 92881 | |
| (951) 371-8805 | |
| (951) 371-8813 |
| Full Name | Family Healthcare Of Corona |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 Fullerton Ave, Corona, California |
| Authorized Official Name and Position | Michael Baluyut (OWNER) |
| Authorized Official Contact | 9513718805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Of Corona 1810 Fullerton Ave Ste 105 Corona CA 92881 Ph: (951) 371-8805 | Family Healthcare Of Corona 1810 Fullerton Ave Ste 105 Corona CA 92881 Ph: (951) 371-8805 |
| NPI Number | 1669544227 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5294784922 |
|---|---|
| Medicare Enrollment ID | O20050119000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669544227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Baluyut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336226067 PECOS PAC ID: 2466401104 Enrollment ID: I20050120000274 |
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