| Medicor Medical Group, Inc | |
|
7974 Haven Ave Suite 250 Rancho Cucamonga CA 91730-3052 | |
| (909) 941-0855 | |
| Not Available |
| Full Name | Medicor Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7974 Haven Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Mark L Shiu (PRESIDENT/CEO) |
| Authorized Official Contact | 9099410855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicor Medical Group, Inc 7974 Haven Ave Suite 250 Rancho Cucamonga CA 91730-3052 Ph: (909) 941-0855 | Medicor Medical Group, Inc 7974 Haven Ave Suite 250 Rancho Cucamonga CA 91730-3052 Ph: (909) 941-0855 |
| NPI Number | 1790863819 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 07/15/2007 |
| Medicare PECOS PAC ID | 7911001797 |
|---|---|
| Medicare Enrollment ID | O20070404000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790863819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9372 (California) | Primary |
| Provider Name | Mark Laurence Shiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629004478 PECOS PAC ID: 6608882709 Enrollment ID: I20150413001265 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
California Foothills Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8211 Rochester Ave, Suite 101, Rancho Cucamonga, CA 91730 Phone: 909-945-2425 Fax: 909-948-6971 | |
Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 | |
Deepak Thiagarajan, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave Ste 210, Rancho Cucamonga, CA 91730 Phone: 909-881-5994 |