| Patients Choice Medical Group Inc | |
|
9645 Monte Vista Ave Suite 302 Montclair CA 91763-2236 | |
| (909) 624-8138 | |
| Not Available |
| Full Name | Patients Choice Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9645 Monte Vista Ave, Montclair, California |
| Authorized Official Name and Position | Jamal Rahman (PRESIDENT) |
| Authorized Official Contact | 9096248138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patients Choice Medical Group Inc 9645 Monte Vista Ave Suite 302 Montclair CA 91763-2236 Ph: (909) 624-8138 | Patients Choice Medical Group Inc 9645 Monte Vista Ave Suite 302 Montclair CA 91763-2236 Ph: (909) 624-8138 |
| NPI Number | 1528194818 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355402272 |
|---|---|
| Medicare Enrollment ID | O20081210000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528194818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A53308 (California) | Primary |
| Provider Name | Jamal N Abdel-rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780628842 PECOS PAC ID: 8628145158 Enrollment ID: I20080924000465 |
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