Marc H. Shomer, Md, Phd, Inc | |
820 N Mountain Ave Ste 102 Upland CA 91786-4163 | |
(909) 981-9800 | |
(909) 946-3937 |
Full Name | Marc H. Shomer, Md, Phd, Inc |
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Speciality | Clinic/Center |
Location | 820 N Mountain Ave Ste 102, Upland, California |
Authorized Official Name and Position | Marc Howard Shomer (CEO) |
Authorized Official Contact | 9096368586 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marc H. Shomer, Md, Phd, Inc Po Box 1075 Dana Point CA 92629-5075 Ph: (909) 981-9800 | Marc H. Shomer, Md, Phd, Inc 820 N Mountain Ave Ste 102 Upland CA 91786-4163 Ph: (909) 981-9800 |
NPI Number | 1427380070 |
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Provider Enumeration Date | 02/08/2010 |
Last Update Date | 02/02/2021 |
Medicare PECOS PAC ID | 0547453888 |
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Medicare Enrollment ID | O20101019001651 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427380070 | NPI | - | NPPES |
CZ142A | Other | CA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | A95190 (California) | Primary |
Provider Name | Marc H Shomer |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457457483 PECOS PAC ID: 3072674803 Enrollment ID: I20081211000279 |
John J Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N 13th Ave, Upland, CA 91786 Phone: 909-981-8905 Fax: 909-982-8051 | |
Inland Empire Medical Network,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Suite C, Upland, CA 91786 Phone: 909-981-8599 Fax: 909-981-5441 | |
Karnavy Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 7th St, Ste. 2e, Upland, CA 91786 Phone: 909-982-8976 Fax: 909-920-3176 | |
Generoso S Nery M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 E Foothill Blvd, Suite 135, Upland, CA 91786 Phone: 909-931-1368 Fax: 909-931-1372 |