| 365 Mdcare Inc | |
|
9041 Magnolia Ave Suite 302 Riverside CA 92503-3900 | |
| (951) 637-9999 | |
| Not Available |
| Full Name | 365 Mdcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9041 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Robert Nguyen (PRESIDENT) |
| Authorized Official Contact | 9516379999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 365 Mdcare Inc 15777 S Cliff Ct Riverside CA 92503-5493 Ph: (951) 637-9999 | 365 Mdcare Inc 9041 Magnolia Ave Suite 302 Riverside CA 92503-3900 Ph: (951) 637-9999 |
| NPI Number | 1164869780 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 8224271887 |
|---|---|
| Medicare Enrollment ID | O20130829000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164869780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert W Nguyen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144256900 PECOS PAC ID: 8325052228 Enrollment ID: I20060131000232 |
| Provider Name | Son N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376593889 PECOS PAC ID: 3577519404 Enrollment ID: I20081211000055 |
| Provider Name | Norman K Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871859553 PECOS PAC ID: 7810214715 Enrollment ID: I20150401002297 |
| Provider Name | Huynh Ngoc Tu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932141 PECOS PAC ID: 3971936204 Enrollment ID: I20191127001279 |
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