| Prestige Medical Clinic And Urgent Care Inc | |
|
1984 Indian Hill Blvd Pomona CA 91767-3620 | |
| (909) 447-2323 | |
| Not Available |
| Full Name | Prestige Medical Clinic And Urgent Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1984 Indian Hill Blvd, Pomona, California |
| Authorized Official Name and Position | Emy Oduro-burton (CEO) |
| Authorized Official Contact | 9094472323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Medical Clinic And Urgent Care Inc 1984 Indian Hill Blvd Pomona CA 91767-3620 Ph: (909) 447-2323 | Prestige Medical Clinic And Urgent Care Inc 1984 Indian Hill Blvd Pomona CA 91767-3620 Ph: (909) 447-2323 |
| NPI Number | 1801444708 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 0840624953 |
|---|---|
| Medicare Enrollment ID | O20191226000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801444708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Isis S Iskander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740243104 PECOS PAC ID: 4486556966 Enrollment ID: I20040811001399 |
| Provider Name | Emelia Oduro Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210531 PECOS PAC ID: 8527334853 Enrollment ID: I20171031003208 |
| Provider Name | Leticia Barksdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588059281 PECOS PAC ID: 6901114545 Enrollment ID: I20240315002670 |
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