Edge Family Medicine | |
440 N Mountain Ave Ste 110 Upland CA 91786-5183 | |
(909) 870-5200 | |
(909) 870-5188 |
Full Name | Edge Family Medicine |
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Speciality | Family Medicine |
Location | 440 N Mountain Ave Ste 110, Upland, California |
Authorized Official Name and Position | Mike Zuniga (CEO) |
Authorized Official Contact | 9098705200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edge Family Medicine 440 N Mountain Ave Ste 110 Upland CA 91786-5183 Ph: (909) 870-5200 | Edge Family Medicine 440 N Mountain Ave Ste 110 Upland CA 91786-5183 Ph: (909) 870-5200 |
NPI Number | 1073262929 |
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Provider Enumeration Date | 03/19/2022 |
Last Update Date | 06/06/2022 |
Medicare PECOS PAC ID | 6507246477 |
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Medicare Enrollment ID | O20220708003453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073262929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mike Zuniga |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578791588 PECOS PAC ID: 6103061684 Enrollment ID: I20130404000362 |
Provider Name | Darlene Espinosa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619105541 PECOS PAC ID: 0648416933 Enrollment ID: I20130410000584 |
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 | |
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Basim Z. Abdelkarim, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1310 San Bernardino Rd Ste 103, Upland, CA 91786 Phone: 909-920-0444 Fax: 909-920-5044 | |
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