| Jack D Cochran | |
|
770 Magnolia Ave Ste 2-c Corona CA 92879 | |
| (951) 737-0110 | |
| (951) 737-5944 |
| Full Name | Jack D Cochran |
|---|---|
| Speciality | Internal Medicine |
| Location | 770 Magnolia Ave, Corona, California |
| Authorized Official Name and Position | Jack Donald Cochran (OWNER) |
| Authorized Official Contact | 9517370110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D Cochran 770 Magnolia Ave Ste 2-c Coeona CA 92879 Ph: (951) 737-0110 | Jack D Cochran 770 Magnolia Ave Ste 2-c Corona CA 92879 Ph: (951) 737-0110 |
| NPI Number | 1114093028 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114093028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207R00000X (California) | Primary |
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