| |
407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 | |
(909) 889-1136 | |
(909) 889-2816 |
Full Name | |
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Speciality | Family Medicine |
Location | 407 E Gilbert St Ste 1, San Bernardino, California |
Authorized Official Name and Position | Octavio Ruiz-villalpando (MEDICAL DIRECTOR/ OWNER) |
Authorized Official Contact | 9098891136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 Ph: (909) 889-1136 | 407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 Ph: (909) 889-1136 |
NPI Number | 1487752895 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 02/20/2012 |
Medicare PECOS PAC ID | 0749228484 |
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Medicare Enrollment ID | O20050421001565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487752895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nabil F Khalil |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1649387879 PECOS PAC ID: 7810029949 Enrollment ID: I20100728000987 |
Provider Name | Kamal K Hossain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982715843 PECOS PAC ID: 8224207501 Enrollment ID: I20110802000544 |
Shuang Bai, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 502, San Bernardino, CA 92404 Phone: 909-883-3838 Fax: 909-792-5531 | |
Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
United Medical Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92480 Phone: 909-244-7430 Fax: 909-495-1380 |