| Hussain Al-darsani A Professional Corp | |
|
5562 Philadelphia St Ste 203 Chino CA 91710-2482 | |
| (909) 287-0440 | |
| (909) 287-0145 |
| Full Name | Hussain Al-darsani A Professional Corp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5562 Philadelphia St Ste 203, Chino, California |
| Authorized Official Name and Position | Hussain Al-darsani (OWNER) |
| Authorized Official Contact | 9092870440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hussain Al-darsani A Professional Corp Po Box 487 Upland CA 91785-0487 Ph: (909) 287-0440 | Hussain Al-darsani A Professional Corp 5562 Philadelphia St Ste 203 Chino CA 91710-2482 Ph: (909) 287-0440 |
| NPI Number | 1548443971 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548443971 | NPI | - | NPPES |
| 00A6878210 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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