| N/a | |
|
284 Dupont St Ste 130 Corona CA 92879-6029 | |
| (626) 257-8473 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Family Medicine |
| Location | 284 Dupont St Ste 130, Corona, California |
| Authorized Official Name and Position | Rashid Awan (OWNER) |
| Authorized Official Contact | 6262578473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 284 Dupont St Ste 130 Corona CA 92879-6029 Ph: (626) 257-8473 | N/a 284 Dupont St Ste 130 Corona CA 92879-6029 Ph: (626) 257-8473 |
| NPI Number | 1861222754 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861222754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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