Special Care Clinic | |
25815 Barton Rd Loma Linda CA 92354-3893 | |
(909) 478-1100 | |
Not Available |
Full Name | Special Care Clinic |
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Speciality | Internal Medicine |
Location | 25815 Barton Rd, Loma Linda, California |
Authorized Official Name and Position | Michael Awad (ADMINISTRATOR) |
Authorized Official Contact | 9095763310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Special Care Clinic 1086 Rancho Valencia Dr Riverside CA 92508-8727 Ph: (951) 789-6339 | Special Care Clinic 25815 Barton Rd Loma Linda CA 92354-3893 Ph: (909) 478-1100 |
NPI Number | 1699275644 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 03/08/2018 |
Medicare PECOS PAC ID | 9133479595 |
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Medicare Enrollment ID | O20180905002009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699275644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | A55643 (California) | Secondary |
Provider Name | Sami S Soliman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982795498 PECOS PAC ID: 8820082118 Enrollment ID: I20040409000643 |
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