Geriatric Professional Services Inc. | |
555 S 7th Ave Barstow CA 92311-3043 | |
(760) 256-1761 | |
Not Available |
Full Name | Geriatric Professional Services Inc. |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 555 S 7th Ave, Barstow, California |
Authorized Official Name and Position | Mustafa Firoz (PHYSICIAN/OWNER) |
Authorized Official Contact | 9514791980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geriatric Professional Services Inc. 6484 Branch Ct Corona CA 92880-0801 Ph: (951) 479-1980 | Geriatric Professional Services Inc. 555 S 7th Ave Barstow CA 92311-3043 Ph: (760) 256-1761 |
NPI Number | 1760490569 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760490569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C51487 (California) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | C51487 (California) | Primary |
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