Rommie F. Fakhoury Md Inc | |
10601 Church St Suite 110 Rancho Cucamonga CA 91730-6863 | |
(909) 989-7100 | |
(909) 989-6333 |
Full Name | Rommie F. Fakhoury Md Inc |
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Speciality | Family Medicine |
Location | 10601 Church St, Rancho Cucamonga, California |
Authorized Official Name and Position | Rommie F Fakhoury (PRESIDENT) |
Authorized Official Contact | 9099897100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rommie F. Fakhoury Md Inc 10601 Church St Suite 110 Rancho Cucamonga CA 91730-6863 Ph: (909) 989-7100 | Rommie F. Fakhoury Md Inc 10601 Church St Suite 110 Rancho Cucamonga CA 91730-6863 Ph: (909) 989-7100 |
NPI Number | 1851648067 |
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Provider Enumeration Date | 08/07/2012 |
Last Update Date | 09/15/2017 |
Medicare PECOS PAC ID | 3476701699 |
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Medicare Enrollment ID | O20120913000262 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851648067 | NPI | - | NPPES |
A89167 | Other | CA | CA MEDIAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A89167 (California) | Primary |
Provider Name | Rommie F Fakhoury |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528000643 PECOS PAC ID: 1052569274 Enrollment ID: I20121101000619 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
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Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
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