| Idyllwild Health Center | |
|
54910 Pinecrest Ave Idyllwild CA 92549 | |
| (951) 659-4908 | |
| (951) 659-2984 |
| Full Name | Idyllwild Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 54910 Pinecrest Ave, Idyllwild, California |
| Authorized Official Name and Position | Kamran Qureshi (PRESIDENT) |
| Authorized Official Contact | 9516594908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idyllwild Health Center Po Box 3152 Idyllwild CA 92549-3152 Ph: (951) 659-4908 | Idyllwild Health Center 54910 Pinecrest Ave Idyllwild CA 92549 Ph: (951) 659-4908 |
| NPI Number | 1407964489 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153367289 |
|---|---|
| Medicare Enrollment ID | O20050629000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407964489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wasef Y Atiya |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306954300 PECOS PAC ID: 5496791535 Enrollment ID: I20061214000276 |
| Provider Name | Kamran A Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326156472 PECOS PAC ID: 1951347095 Enrollment ID: I20061214000285 |
| Provider Name | Mary Bridgid Foye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801432513 PECOS PAC ID: 9234556200 Enrollment ID: I20200907000028 |
Regenerative Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54910, Pine Crest Avenue, Idyllwild, CA 92549 Phone: 951-659-9912 | |
Strawberry Creek Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54910 Pine Crest Avenue, Idyllwild, CA 92549 Phone: 917-225-6302 |