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3984 Indiana Ave Perris CA 92571-3154 | |
(951) 443-2543 | |
(951) 443-2556 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3984 Indiana Ave, Perris, California |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-4948 Ph: (951) 443-2543 | 3984 Indiana Ave Perris CA 92571-3154 Ph: (951) 443-2543 |
NPI Number | 1023436599 |
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Provider Enumeration Date | 04/02/2014 |
Last Update Date | 08/19/2022 |
Identifier | Type | State | Issuer |
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1023436599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
County Of Riverside-community Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 N D St, Perris, CA 92570 Phone: 951-940-6700 Fax: 951-940-6726 | |
Perris Valley Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 Avocado Ave, Suite 207, Perris, CA 92571 Phone: 951-657-0544 Fax: 951-657-9644 | |
Three Angels Medical Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 East 4th St, Suite B And C, Perris, CA 92570 Phone: 951-956-2131 Fax: 951-956-2150 | |