Joel A Pengson, Md, A Medical Corporation | |
23180 Hemlock Ave Moreno Valley CA 92557-8001 | |
(951) 243-6460 | |
Not Available |
Full Name | Joel A Pengson, Md, A Medical Corporation |
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Speciality | Internal Medicine |
Location | 23180 Hemlock Ave, Moreno Valley, California |
Authorized Official Name and Position | Joel A Pengson (CEO) |
Authorized Official Contact | 9515000388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joel A Pengson, Md, A Medical Corporation 23180 Hemlock Ave Moreno Valley CA 92557-8001 Ph: () - | Joel A Pengson, Md, A Medical Corporation 23180 Hemlock Ave Moreno Valley CA 92557-8001 Ph: (951) 243-6460 |
NPI Number | 1033204235 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 12/29/2021 |
Medicare PECOS PAC ID | 0143406991 |
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Medicare Enrollment ID | O20110512000541 |
Identifier | Type | State | Issuer |
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1033204235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G72774 (California) | Primary |
Provider Name | Joel A Pengson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720018237 PECOS PAC ID: 9638135353 Enrollment ID: I20041204000223 |
Provider Name | Allan C Elarmo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659705689 PECOS PAC ID: 9638326259 Enrollment ID: I20140709001492 |
Provider Name | Teresita Cr Belamide |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558419416 PECOS PAC ID: 6406160993 Enrollment ID: I20150728004810 |
Riverside University Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |