| |
1873 Commerce Center West San Bernardino CA 92408-3303 | |
(909) 890-5511 | |
(909) 890-4599 |
Full Name | |
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Speciality | Clinic/center |
Location | 1873 Commerce Center West, San Bernardino, California |
Authorized Official Name and Position | Jessica Chinen (VP OF FINANCE) |
Authorized Official Contact | 7146336373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 E Katella Ave Anaheim CA 92805-6614 Ph: (714) 633-3736 | 1873 Commerce Center West San Bernardino CA 92408-3303 Ph: (909) 890-5511 |
NPI Number | 1003885518 |
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Provider Enumeration Date | 03/16/2006 |
Last Update Date | 10/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003885518 | NPI | - | NPPES |
05D0666696 | Other | CA | CLIA ORANGE |
05D1042218 | Other | CA | CLIA WESTMINSTER LAB |
240000770 | Medicaid | CA | |
CMM70867F | Other | CA | CLINIC/CENTER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 240000770 (California) | Secondary |
261Q00000X | Clinic/center | (California) | Primary |
Shuang Bai, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 502, San Bernardino, CA 92404 Phone: 909-883-3838 Fax: 909-792-5531 | |
Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
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United Medical Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92480 Phone: 909-244-7430 Fax: 909-495-1380 |