| Gerardo M General Md Inc | |
|
5385 Walnut Ave # 5 Chino CA 91710-2605 | |
| (909) 465-6464 | |
| (909) 465-9544 |
| Full Name | Gerardo M General Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5385 Walnut Ave, Chino, California |
| Authorized Official Name and Position | Gerardo M General (OWNER) |
| Authorized Official Contact | 9094656464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo M General Md Inc Po Box 2735 Chino CA 91708-2735 Ph: (909) 465-6464 | Gerardo M General Md Inc 5385 Walnut Ave # 5 Chino CA 91710-2605 Ph: (909) 465-6464 |
| NPI Number | 1881900116 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Medicare PECOS PAC ID | 0345365375 |
|---|---|
| Medicare Enrollment ID | O20100915000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881900116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51732 (California) | Primary |
| Provider Name | Gerardo M General |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649295635 PECOS PAC ID: 5890810832 Enrollment ID: I20100915000279 |
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