| Health Service Alliance | |
|
10837 Laurel St Ste 204 Rancho Cucamonga CA 91730-7657 | |
| (909) 244-9268 | |
| (909) 244-0987 |
| Full Name | Health Service Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 10837 Laurel St Ste 204, Rancho Cucamonga, California |
| Authorized Official Name and Position | Sally Hernandez (BILLING MANAGER) |
| Authorized Official Contact | 9092815800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Service Alliance 10837 Laurel St Ste 204 Rancho Cucamonga CA 91730-7657 Ph: (909) 244-9268 | Health Service Alliance 10837 Laurel St Ste 204 Rancho Cucamonga CA 91730-7657 Ph: (909) 244-9268 |
| NPI Number | 1861181216 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 4587642467 |
|---|---|
| Medicare Enrollment ID | O20230622000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861181216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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