Precise Telehealth Of California, A Professional Corporation | |
4482 Main Street Primary Location Riverside CA 92501-4144 | |
(410) 862-0820 | |
(884) 828-6164 |
Full Name | Precise Telehealth Of California, A Professional Corporation |
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Speciality | General Practice |
Location | 4482 Main Street Primary Location, Riverside, California |
Authorized Official Name and Position | Michael Kerouac (CEO) |
Authorized Official Contact | 2035249871 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Precise Telehealth Of California, A Professional Corporation 22 W Padonia Rd Ste C241 Timonium MD 21093-2237 Ph: (203) 524-9871 | Precise Telehealth Of California, A Professional Corporation 4482 Main Street Primary Location Riverside CA 92501-4144 Ph: (410) 862-0820 |
NPI Number | 1205332343 |
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Provider Enumeration Date | 04/05/2018 |
Last Update Date | 05/26/2022 |
Medicare PECOS PAC ID | 2264775410 |
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Medicare Enrollment ID | O20190510000958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205332343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jason T Vu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073957718 PECOS PAC ID: 5496057291 Enrollment ID: I20181016002235 |
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