| Premium Care Clinic | |
|
11882 De Palma Rd Ste 2f-1 Corona CA 92883-4008 | |
| (951) 603-3335 | |
| (909) 799-2008 |
| Full Name | Premium Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11882 De Palma Rd Ste 2f-1, Corona, California |
| Authorized Official Name and Position | Khaled El Said (MD/OWNER) |
| Authorized Official Contact | 9516033335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Care Clinic 11882 De Palma Rd Ste 2f-1 Corona CA 92883-4008 Ph: (951) 603-3335 | Premium Care Clinic 11882 De Palma Rd Ste 2f-1 Corona CA 92883-4008 Ph: (951) 603-3335 |
| NPI Number | 1386923019 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2163692435 |
|---|---|
| Medicare Enrollment ID | O20110823000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386923019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 05439 (California) | Primary |
| Provider Name | Khaled M El Said |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043487762 PECOS PAC ID: 4082884457 Enrollment ID: I20110823000837 |
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