| Reen Medical Group Inc | |
|
1525 N Norma St Ste B Ridgecrest CA 93555-6536 | |
| (760) 463-1613 | |
| (760) 463-1614 |
| Full Name | Reen Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1525 N Norma St Ste B, Ridgecrest, California |
| Authorized Official Name and Position | Amikjit S Reen (CEO/PHYSICIAN) |
| Authorized Official Contact | 5105520967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reen Medical Group Inc 1525 N Norma St Ste B Ridgecrest CA 93555-6536 Ph: (760) 463-1613 | Reen Medical Group Inc 1525 N Norma St Ste B Ridgecrest CA 93555-6536 Ph: (760) 463-1613 |
| NPI Number | 1679828776 |
|---|---|
| Provider Enumeration Date | 07/16/2012 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 3971753005 |
|---|---|
| Medicare Enrollment ID | O20121025000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679828776 | NPI | - | NPPES |
| CL440A | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amikjit Singh Reen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720061112 PECOS PAC ID: 3870521925 Enrollment ID: I20050729000620 |
| Provider Name | Sandeep Reen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912284621 PECOS PAC ID: 2466615463 Enrollment ID: I20120717000235 |
| Provider Name | Diana Aurora Uribe-tanus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780069054 PECOS PAC ID: 1254648819 Enrollment ID: I20150916001881 |
| Provider Name | Savita A Dongre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134875123 PECOS PAC ID: 3577946177 Enrollment ID: I20220815001826 |
| Provider Name | Shahla Khan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548513567 PECOS PAC ID: 1153786660 Enrollment ID: I20230504001895 |
| Provider Name | Cecilia Jane Fisher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457060634 PECOS PAC ID: 1456713437 Enrollment ID: I20230809000668 |
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