Lionel B Katchem, D.o., A Prof. Corp. | |
1246 E Arrow Hwy Ste B Upland CA 91786-4955 | |
(909) 373-0381 | |
Not Available |
Full Name | Lionel B Katchem, D.o., A Prof. Corp. |
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Speciality | Clinic/center - Primary Care |
Location | 1246 E Arrow Hwy Ste B, Upland, California |
Authorized Official Name and Position | Lionel Bernard Katchem (PRESIDENT) |
Authorized Official Contact | 9093730381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lionel B Katchem, D.o., A Prof. Corp. 1246 E Arrow Hwy Ste B Upland CA 91786-4955 Ph: () - | Lionel B Katchem, D.o., A Prof. Corp. 1246 E Arrow Hwy Ste B Upland CA 91786-4955 Ph: (909) 373-0381 |
NPI Number | 1427019397 |
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Provider Enumeration Date | 03/30/2006 |
Last Update Date | 07/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427019397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 20A4524 (California) | Primary |
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