| Jeeva Healthcare Inc | |
|
18660 Us Highway 18 Apple Valley CA 92307-2316 | |
| (760) 515-1911 | |
| (442) 292-1025 |
| Full Name | Jeeva Healthcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18660 Us Highway 18, Apple Valley, California |
| Authorized Official Name and Position | Ashwini V Mallad (SHAREHOLDER) |
| Authorized Official Contact | 5072719864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeeva Healthcare Inc 2834 Hamner Ave # 456 Norco CA 92860-1929 Ph: () - | Jeeva Healthcare Inc 18660 Us Highway 18 Apple Valley CA 92307-2316 Ph: (760) 515-1911 |
| NPI Number | 1255193058 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 7012441199 |
|---|---|
| Medicare Enrollment ID | O20241112002400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255193058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ashwini Mallad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477968006 PECOS PAC ID: 3072732619 Enrollment ID: I20201118003145 |
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