| German E Crisol Md Inc | |
|
6485 Day St Suite 202 Riverside CA 92507-0929 | |
| (951) 653-3500 | |
| (951) 653-3330 |
| Full Name | German E Crisol Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6485 Day St, Riverside, California |
| Authorized Official Name and Position | German Crisol (MEDICAL DOCTOR) |
| Authorized Official Contact | 9516533500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| German E Crisol Md Inc 6485 Day St Suite 202 Riverside CA 92507-0929 Ph: (951) 653-3500 | German E Crisol Md Inc 6485 Day St Suite 202 Riverside CA 92507-0929 Ph: (951) 653-3500 |
| NPI Number | 1053491134 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183693617 |
|---|---|
| Medicare Enrollment ID | O20040930000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053491134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A68389 (California) | Primary |
| Provider Name | German Ernesto Crisol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952333650 PECOS PAC ID: 0345219879 Enrollment ID: I20040930000623 |
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