| Good Shepherd Physician Assistant Corporation | |
|
8283 Grove Ave Ste 102 Rancho Cucamonga CA 91730-3138 | |
| (909) 480-4808 | |
| (909) 480-4843 |
| Full Name | Good Shepherd Physician Assistant Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8283 Grove Ave Ste 102, Rancho Cucamonga, California |
| Authorized Official Name and Position | Amgad Alfred (PRESIDENT) |
| Authorized Official Contact | 9094804808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Physician Assistant Corporation 12872 Silver Rose Ct Rancho Cucamonga CA 91739-8842 Ph: (909) 480-4808 | Good Shepherd Physician Assistant Corporation 8283 Grove Ave Ste 102 Rancho Cucamonga CA 91730-3138 Ph: (909) 480-4808 |
| NPI Number | 1598451247 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598451247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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