| Rex Medical Care Duarte | |
|
1161 Huntington Dr Duarte CA 91010-2400 | |
| (626) 359-6727 | |
| (626) 359-6722 |
| Full Name | Rex Medical Care Duarte |
|---|---|
| Speciality | Family Medicine |
| Location | 1161 Huntington Dr, Duarte, California |
| Authorized Official Name and Position | Noaman Hanif (OWNER) |
| Authorized Official Contact | 6263596727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rex Medical Care Duarte 1161 Huntington Dr Duarte CA 91010-2400 Ph: (626) 359-6727 | Rex Medical Care Duarte 1161 Huntington Dr Duarte CA 91010-2400 Ph: (626) 359-6727 |
| NPI Number | 1962704270 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Medicare PECOS PAC ID | 6204014020 |
|---|---|
| Medicare Enrollment ID | O20110627000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962704270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A111544 (California) | Primary |
| Provider Name | Noaman Hanif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326368572 PECOS PAC ID: 1557549375 Enrollment ID: I20110627000630 |
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