Pros Medical Clinic, Inc. | |
4959 Palo Verde St Ste. 101a Montclair CA 91763-2331 | |
(909) 621-2562 | |
(909) 621-2480 |
Full Name | Pros Medical Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 4959 Palo Verde St, Montclair, California |
Authorized Official Name and Position | Jonathan Martinez (VICE PRESIDENT) |
Authorized Official Contact | 9096212562 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pros Medical Clinic, Inc. 4959 Palo Verde St Ste. 101a Montclair CA 91763-2331 Ph: (909) 621-2562 | Pros Medical Clinic, Inc. 4959 Palo Verde St Ste. 101a Montclair CA 91763-2331 Ph: (909) 621-2562 |
NPI Number | 1942567854 |
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Provider Enumeration Date | 04/16/2012 |
Last Update Date | 04/16/2012 |
Medicare PECOS PAC ID | 2163687716 |
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Medicare Enrollment ID | O20120703000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942567854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Rick M Hirsch |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1497774954 PECOS PAC ID: 1759294465 Enrollment ID: I20031110000178 |
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