| Grove Internal Medicine Inc. | |
|
8283 Grove Ave Ste 201 Rancho Cucamonga CA 91730-3140 | |
| (909) 981-6644 | |
| (909) 981-5048 |
| Full Name | Grove Internal Medicine Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8283 Grove Ave Ste 201, Rancho Cucamonga, California |
| Authorized Official Name and Position | Sean To (OWNER) |
| Authorized Official Contact | 9099816644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Internal Medicine Inc. 8283 Grove Ave Ste 201 Rancho Cucamonga CA 91730-3140 Ph: (909) 981-6644 | Grove Internal Medicine Inc. 8283 Grove Ave Ste 201 Rancho Cucamonga CA 91730-3140 Ph: (909) 981-6644 |
| NPI Number | 1811224298 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 06/11/2020 |
| Medicare PECOS PAC ID | 0143364083 |
|---|---|
| Medicare Enrollment ID | O20100216000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811224298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sean S To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922163310 PECOS PAC ID: 1850313578 Enrollment ID: I20051222000171 |
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