| Perris Community Urgent Care | |
|
520 W 4th St Perris CA 92570 | |
| (909) 228-4221 | |
| (909) 307-1231 |
| Full Name | Perris Community Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 W 4th St, Perris, California |
| Authorized Official Name and Position | Walter Jones (CEO) |
| Authorized Official Contact | 9092284221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perris Community Urgent Care 255 Terracina Blvd Ste 101 Redlands CA 92373-4870 Ph: (909) 228-4221 | Perris Community Urgent Care 520 W 4th St Perris CA 92570 Ph: (909) 228-4221 |
| NPI Number | 1457864464 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 07/31/2020 |
| Medicare PECOS PAC ID | 4284974403 |
|---|---|
| Medicare Enrollment ID | O20190325002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457864464 | NPI | - | NPPES |
| Provider Name | Walter Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164593372 PECOS PAC ID: 5193620870 Enrollment ID: I20031204001231 |
| Provider Name | Jean Everly Lafontant |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1043501851 PECOS PAC ID: 7315262870 Enrollment ID: I20150205000003 |
| Provider Name | Belinda A Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437517489 PECOS PAC ID: 6800182072 Enrollment ID: I20190710002326 |
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