| San Bernardino, Ca | |
|
825 E Central Ave San Bernardino CA 92408 | |
| (888) 261-6210 | |
| Not Available |
| Full Name | San Bernardino, Ca |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 825 E Central Ave, San Bernardino, California |
| Authorized Official Name and Position | Ann B Merkow (PRESIDENT) |
| Authorized Official Contact | 4145668400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino, Ca N64 W23110 Main Street Sussex WI 53089-3995 Ph: (414) 566-8400 | San Bernardino, Ca 825 E Central Ave San Bernardino CA 92408 Ph: (888) 261-6210 |
| NPI Number | 1487151098 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487151098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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