| Shawn Couture Md Inc | |
|
6848 Magnolia Ave Suite 230 Riverside CA 92506-2857 | |
| (951) 689-2991 | |
| (951) 682-9912 |
| Full Name | Shawn Couture Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6848 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Shawn Couture (PRESIDENT) |
| Authorized Official Contact | 9516829911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Couture Md Inc 6848 Magnolia Ave Suite 230 Riverside CA 92506-2857 Ph: (951) 682-9911 | Shawn Couture Md Inc 6848 Magnolia Ave Suite 230 Riverside CA 92506-2857 Ph: (951) 689-2991 |
| NPI Number | 1942474366 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 9335201961 |
|---|---|
| Medicare Enrollment ID | O20081216000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942474366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A98305 (California) | Primary |
| Provider Name | Shawn Couture |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548464175 PECOS PAC ID: 3072675602 Enrollment ID: I20081216000473 |
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