| Kolli Medical Corporation | |
|
1600 E Florida Ave Suite 103 Hemet CA 92544-8643 | |
| (951) 929-8121 | |
| (951) 929-2421 |
| Full Name | Kolli Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 E Florida Ave, Hemet, California |
| Authorized Official Name and Position | Hemchand Kolli (PRESIDENT) |
| Authorized Official Contact | 9519256625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolli Medical Corporation 1600 E Florida Ave Suite 103 Hemet CA 92544-8643 Ph: (951) 929-8121 | Kolli Medical Corporation 1600 E Florida Ave Suite 103 Hemet CA 92544-8643 Ph: (951) 929-8121 |
| NPI Number | 1659716884 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/02/2013 |
| Medicare PECOS PAC ID | 4981827490 |
|---|---|
| Medicare Enrollment ID | O20140529002358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659716884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Secondary |
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Hemchand Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669552485 PECOS PAC ID: 4183729296 Enrollment ID: I20070418000537 |
| Provider Name | Alfred De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295039261 PECOS PAC ID: 8820266307 Enrollment ID: I20110728000204 |
| Provider Name | Pranav Barve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972899839 PECOS PAC ID: 0042434920 Enrollment ID: I20140616001517 |
| Provider Name | Sharon Simons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255610465 PECOS PAC ID: 2860718343 Enrollment ID: I20150227000011 |
| Provider Name | Arvind K Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962726471 PECOS PAC ID: 4385962919 Enrollment ID: I20150411000010 |
| Provider Name | Tessa Marcelle Buchan Antalan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427346758 PECOS PAC ID: 2668785205 Enrollment ID: I20150724011640 |
| Provider Name | Katharine Mary Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083720718 PECOS PAC ID: 1557490828 Enrollment ID: I20170428000595 |
| Provider Name | Michael Agbisit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619415528 PECOS PAC ID: 7315224094 Enrollment ID: I20170505001572 |
| Provider Name | Stephen Orlando Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588111587 PECOS PAC ID: 5395018576 Enrollment ID: I20170911000910 |
| Provider Name | Frederick A Sarpong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891140638 PECOS PAC ID: 7719251818 Enrollment ID: I20170927002488 |
| Provider Name | Amir H Rahnavard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669755153 PECOS PAC ID: 8123376407 Enrollment ID: I20180802001247 |
| Provider Name | April M Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630193 PECOS PAC ID: 2466790316 Enrollment ID: I20190219001184 |
| Provider Name | Carrie Lynn Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588348163 PECOS PAC ID: 8022472869 Enrollment ID: I20230913001396 |
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Guilherme R Carvalho M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Santa Fe St, Ste A, Hemet, CA 92543 Phone: 951-652-6891 | |
David Perz, D.o. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2591 W Florida Ave, Hemet, CA 92545 Phone: 951-766-4329 Fax: 951-766-8056 | |
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