Jiffry Medical Corporation | |
399 E Highland Ave Suite 312 San Bernardino CA 92404-3808 | |
(909) 886-8227 | |
(909) 883-3358 |
Full Name | Jiffry Medical Corporation |
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Speciality | Internal Medicine |
Location | 399 E Highland Ave, San Bernardino, California |
Authorized Official Name and Position | Ahamed J Jiffry (OWNER) |
Authorized Official Contact | 9098868227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jiffry Medical Corporation 399 E Highland Ave Suite 312 San Bernardino CA 92404-3808 Ph: (909) 886-8227 | Jiffry Medical Corporation 399 E Highland Ave Suite 312 San Bernardino CA 92404-3808 Ph: (909) 886-8227 |
NPI Number | 1265609119 |
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Provider Enumeration Date | 05/09/2008 |
Last Update Date | 06/09/2014 |
Medicare PECOS PAC ID | 9931272465 |
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Medicare Enrollment ID | O20080716000857 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265609119 | NPI | - | NPPES |
00A35010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A043501 (California) | Primary |
Provider Name | Ahamed Jiffry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295848679 PECOS PAC ID: 3577636000 Enrollment ID: I20080716000853 |
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