| Medix Wound Care Physicians Inc | |
|
355 E Rincon St Ste 215 Corona CA 92879-1372 | |
| (951) 268-9245 | |
| (951) 268-9246 |
| Full Name | Medix Wound Care Physicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 355 E Rincon St Ste 215, Corona, California |
| Authorized Official Name and Position | Abdul Khan (PRESIDENT) |
| Authorized Official Contact | 3105610915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medix Wound Care Physicians Inc 355 E Rincon St Ste 215 Corona CA 92879-1372 Ph: (951) 268-9245 | Medix Wound Care Physicians Inc 355 E Rincon St Ste 215 Corona CA 92879-1372 Ph: (951) 268-9245 |
| NPI Number | 1215615810 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 3476913757 |
|---|---|
| Medicare Enrollment ID | O20230718002991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215615810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdul Rab Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063400380 PECOS PAC ID: 5496788036 Enrollment ID: I20050914001132 |
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