| Mommy And Me Medical Group, Inc. | |
|
4190 Chicago Ave Riverside CA 92507-5348 | |
| (951) 683-2106 | |
| Not Available |
| Full Name | Mommy And Me Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4190 Chicago Ave, Riverside, California |
| Authorized Official Name and Position | Guillermo J. Valenzuela (PRESIDENT) |
| Authorized Official Contact | 9095800633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mommy And Me Medical Group, Inc. Po Box 1762 Colton CA 92324-0857 Ph: (909) 580-3470 | Mommy And Me Medical Group, Inc. 4190 Chicago Ave Riverside CA 92507-5348 Ph: (951) 683-2106 |
| NPI Number | 1730258765 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 05/29/2020 |
| Medicare PECOS PAC ID | 0244383727 |
|---|---|
| Medicare Enrollment ID | O20090730000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730258765 | NPI | - | NPPES |
| Provider Name | Singh A Boun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801855028 PECOS PAC ID: 9032005574 Enrollment ID: I20040224000840 |
| Provider Name | Shirley Patricia Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346313459 PECOS PAC ID: 4688695448 Enrollment ID: I20051208000696 |
| Provider Name | Chinye Ogbuchiekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316162381 PECOS PAC ID: 0749295608 Enrollment ID: I20060214000225 |
| Provider Name | Nick H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598881179 PECOS PAC ID: 3476646761 Enrollment ID: I20070831000388 |
| Provider Name | John Michael Lyons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215905930 PECOS PAC ID: 7618143512 Enrollment ID: I20111227000178 |
| Provider Name | Mohammadreza Ghayuri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073711156 PECOS PAC ID: 1951499045 Enrollment ID: I20130322000329 |
| Provider Name | Eric Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174801179 PECOS PAC ID: 3375865199 Enrollment ID: I20141206000004 |
| Provider Name | Kauai N Kennedy-eto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568758100 PECOS PAC ID: 9133412125 Enrollment ID: I20160728001286 |
| Provider Name | Tania Aftandilians |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780927236 PECOS PAC ID: 4587910880 Enrollment ID: I20180628001852 |
| Provider Name | Sara Nell Daiber-salhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871151 PECOS PAC ID: 5698108678 Enrollment ID: I20191205000321 |
| Provider Name | Jessica Medina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881013027 PECOS PAC ID: 6507292117 Enrollment ID: I20200130000428 |
| Provider Name | Georgenia Okere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972063790 PECOS PAC ID: 4789098989 Enrollment ID: I20210129001588 |
| Provider Name | Everett K. Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750608774 PECOS PAC ID: 8325438757 Enrollment ID: I20211129002201 |
| Provider Name | Amanda Yadira Barrio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467980243 PECOS PAC ID: 9234517392 Enrollment ID: I20220601001048 |
| Provider Name | Heli Mayur Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235620543 PECOS PAC ID: 0648650218 Enrollment ID: I20220629002750 |
| Provider Name | Manal Fawzy Abdelshahed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528557535 PECOS PAC ID: 3870974850 Enrollment ID: I20220721003788 |
| Provider Name | Amala Osuji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679339436 PECOS PAC ID: 2466891627 Enrollment ID: I20240419003112 |
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