| Family Medical Clinic & Urgent Care Inc | |
|
9723 Sierra Vista Rd Unit A Phelan CA 92371-8271 | |
| (760) 868-1990 | |
| (760) 868-1201 |
| Full Name | Family Medical Clinic & Urgent Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9723 Sierra Vista Rd, Phelan, California |
| Authorized Official Name and Position | Vivek Singh Gill (OWNER) |
| Authorized Official Contact | 7608681990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic & Urgent Care Inc 9723 Sierra Vista Rd Unit A Phelan CA 92371-8271 Ph: (760) 868-1990 | Family Medical Clinic & Urgent Care Inc 9723 Sierra Vista Rd Unit A Phelan CA 92371-8271 Ph: (760) 868-1990 |
| NPI Number | 1114240371 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 8527191188 |
|---|---|
| Medicare Enrollment ID | O20100803000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114240371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A61054 (California) | Primary |
| Provider Name | Vivek S Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992712616 PECOS PAC ID: 5799855060 Enrollment ID: I20080529000788 |
The Medicine Shoppe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4050 Phelan Rd Ste 8, Phelan, CA 92371 Phone: 760-868-2800 Fax: 760-868-5252 |