| Norma Bachoura M D Inc | |
|
150 W Foothill Blvd San Dimas CA 91773-1102 | |
| (909) 599-9921 | |
| (909) 592-3147 |
| Full Name | Norma Bachoura M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 150 W Foothill Blvd, San Dimas, California |
| Authorized Official Name and Position | Norma E Bachoura (PRESIDENT) |
| Authorized Official Contact | 9095999921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norma Bachoura M D Inc 150 W Foothill Blvd San Dimas CA 91773-1102 Ph: (909) 599-9921 | Norma Bachoura M D Inc 150 W Foothill Blvd San Dimas CA 91773-1102 Ph: (909) 599-9921 |
| NPI Number | 1326210469 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Medicare PECOS PAC ID | 5799854493 |
|---|---|
| Medicare Enrollment ID | O20080521000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326210469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Norma E Bachoura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235191131 PECOS PAC ID: 7719960780 Enrollment ID: I20070703000715 |
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