| Md Senior Care Medical Group, Inc. | |
|
99 Business Park Dr Perris CA 92571-3165 | |
| (951) 956-2131 | |
| Not Available |
| Full Name | Md Senior Care Medical Group, Inc. |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 99 Business Park Dr, Perris, California |
| Authorized Official Name and Position | David Hernandez-rodriguez (PRESIDENT) |
| Authorized Official Contact | 9519562131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Senior Care Medical Group, Inc. 99 Business Park Dr Perris CA 92571-3165 Ph: (951) 956-2131 | Md Senior Care Medical Group, Inc. 99 Business Park Dr Perris CA 92571-3165 Ph: (951) 956-2131 |
| NPI Number | 1447908264 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447908264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Primary |
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