| Spa M Medical Corporation | |
|
32034 Blazing Star St Winchester CA 92596-8941 | |
| (951) 325-8307 | |
| Not Available |
| Full Name | Spa M Medical Corporation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 32034 Blazing Star St, Winchester, California |
| Authorized Official Name and Position | Dennnis K. Miller (CEO) |
| Authorized Official Contact | 7144657125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa M Medical Corporation 32034 Blazing Star St Winchester CA 92596-8941 Ph: (951) 325-8307 | Spa M Medical Corporation 32034 Blazing Star St Winchester CA 92596-8941 Ph: (951) 325-8307 |
| NPI Number | 1578790713 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 06/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578790713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 20A8981 (California) | Primary |
H Squared Health Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35056 Knollview Ct, Winchester, CA 92596 Phone: 760-828-2196 |