Primaria Medical Clinic | |
830 Magnolia Ave Fl 2 Corona CA 92879-3128 | |
(951) 278-2530 | |
(951) 278-9746 |
Full Name | Primaria Medical Clinic |
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Speciality | Family Medicine |
Location | 830 Magnolia Ave Fl 2, Corona, California |
Authorized Official Name and Position | Fatima C Magina (OWNER) |
Authorized Official Contact | 9512782530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primaria Medical Clinic 830 Magnolia Ave Fl 2 Corona CA 92879-3128 Ph: (951) 278-2530 | Primaria Medical Clinic 830 Magnolia Ave Fl 2 Corona CA 92879-3128 Ph: (951) 278-2530 |
NPI Number | 1306070826 |
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Provider Enumeration Date | 05/12/2009 |
Last Update Date | 06/22/2022 |
Medicare PECOS PAC ID | 0345392312 |
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Medicare Enrollment ID | O20090722000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306070826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jose A Sanchez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467531145 PECOS PAC ID: 9335220664 Enrollment ID: I20080112000208 |
Provider Name | Fatima Magina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205984689 PECOS PAC ID: 6901857275 Enrollment ID: I20080122000752 |
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