| |
406 James St Shafter CA 93263-2035 | |
(661) 746-5788 | |
(661) 746-5273 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 406 James St, Shafter, California |
Authorized Official Name and Position | Jong Chun Moon (ADMINISTRATOR) |
Authorized Official Contact | 6617465788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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406 James St Shafter CA 93263-2035 Ph: (661) 746-5788 | 406 James St Shafter CA 93263-2035 Ph: (661) 746-5788 |
NPI Number | 1457578403 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 06/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457578403 | NPI | - | NPPES |
RHM53818F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | A356070 (California) | Primary |
National Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194 Fax: 661-746-9197 | |
Clearview Optometry Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 E Lerdo Hwy # 200, Shafter, CA 93263 Phone: 661-746-6989 | |