| |
341 E Main St Ste 100 San Jacinto CA 92583-4205 | |
(951) 654-9367 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 341 E Main St, San Jacinto, California |
Authorized Official Name and Position | Neelam Gupta (CEO) |
Authorized Official Contact | 9516549367 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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341 E Main St Ste 100 San Jacinto CA 92583-4205 Ph: (951) 654-9367 | 341 E Main St Ste 100 San Jacinto CA 92583-4205 Ph: (951) 654-9367 |
NPI Number | 1730535261 |
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Provider Enumeration Date | 05/13/2016 |
Last Update Date | 09/02/2016 |
Medicare PECOS PAC ID | 1759660897 |
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Medicare Enrollment ID | O20161114001642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730535261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Horst-helmut H Meissner |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1730134248 PECOS PAC ID: 3577532266 Enrollment ID: I20040929000666 |
Provider Name | Neelam Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922289628 PECOS PAC ID: 2860543063 Enrollment ID: I20090629000545 |
Provider Name | Vivek C Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508183211 PECOS PAC ID: 1951535756 Enrollment ID: I20131010000643 |
Provider Name | Lawrence R Rouben |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1427003003 PECOS PAC ID: 0446152490 Enrollment ID: I20150221000315 |
Provider Name | Arvind K Mathur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962726471 PECOS PAC ID: 4385962919 Enrollment ID: I20150411000010 |
Provider Name | Estefania M Maurer Spakowsky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073910543 PECOS PAC ID: 1951656800 Enrollment ID: I20180615002497 |
Provider Name | Vidyamohan Balu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265815880 PECOS PAC ID: 8921357112 Enrollment ID: I20181203000944 |
Provider Name | Ajay Adial |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568726594 PECOS PAC ID: 3072802461 Enrollment ID: I20200228001996 |
Provider Name | Andrea Rodriguez Kawas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780107235 PECOS PAC ID: 3375933914 Enrollment ID: I20211214000998 |
New Life Womens Health Center,a Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite N, San Jacinto, CA 92583 Phone: 951-654-8800 | |
Ramona Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 E Main St, San Jacinto, CA 92583 Phone: 951-654-9367 Fax: 951-654-0839 | |
Valley Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 S San Jacinto Ave, San Jacinto, CA 92583 Phone: 951-588-7692 Fax: 951-281-0416 |