Friendly Medical Center | |
15462 Main Street Hesperia CA 92345-3318 | |
(760) 949-7000 | |
(760) 949-3123 |
Full Name | Friendly Medical Center |
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Speciality | Clinic/Center |
Location | 15462 Main Street, Hesperia, California |
Authorized Official Name and Position | Gurpal S Phaguda (MD OWNER) |
Authorized Official Contact | 7609497000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Friendly Medical Center 15462 Main Street Hesperia CA 92345-3318 Ph: (760) 949-7000 | Friendly Medical Center 15462 Main Street Hesperia CA 92345-3318 Ph: (760) 949-7000 |
NPI Number | 1467418038 |
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Provider Enumeration Date | 04/24/2006 |
Last Update Date | 10/21/2021 |
Medicare PECOS PAC ID | 9234294067 |
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Medicare Enrollment ID | O20090211000561 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467418038 | NPI | - | NPPES |
G71819 | Other | LICENSE NUMBER | |
GR0054500 | Medicaid | CA |
Provider Name | Gurpal Phaguda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467586537 PECOS PAC ID: 6800951633 Enrollment ID: I20090211000533 |
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