| Golden Shore Medical Group | |
|
17500 Foothill Blvd #a-2 Fontana CA 92335-3798 | |
| (909) 428-0170 | |
| (877) 778-9312 |
| Full Name | Golden Shore Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 17500 Foothill Blvd, Fontana, California |
| Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT, CLINIC OPERATIONS) |
| Authorized Official Contact | 6263462455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Shore Medical Group 625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 Ph: (626) 346-2455 | Golden Shore Medical Group 17500 Foothill Blvd #a-2 Fontana CA 92335-3798 Ph: (909) 428-0170 |
| NPI Number | 1922379668 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922379668 | NPI | - | NPPES |
| APPROVED EFF 1/31/12 | Medicaid | CA | |
| DU4034-EFF. 3/10/12 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 208000000X | Pediatrics | (California) | Secondary |
Unicare Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17500 Foothill Blvd Ste A2, Fontana, CA 92335 Phone: 909-428-0170 | |
Senior's Choice Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8990 Sierra Avenue, Suite J&k, Fontana, CA 92335 Phone: 909-421-4886 | |
Pinnacle Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16655 Foothill Blvd, Fontana, CA 92335 Phone: 909-427-1303 Fax: 909-796-4158 | |
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Alav Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy, Ste 220, Fontana, CA 92336 Phone: 909-434-1123 Fax: 909-261-8082 | |
Vituity Physician Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16888 Baseline Ave, Fontana, CA 92336 Phone: 855-422-8029 | |
Internal Medicine Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Parkway, Internal Medicine Medical Group Suite, Fontana, CA 92336 Phone: 909-770-8640 Fax: 909-770-8650 |