| Spectrum Skin Cancer Care Inc | |
|
425 E Holyoke Pl Claremont CA 91711-1979 | |
| (909) 702-7602 | |
| Not Available |
| Full Name | Spectrum Skin Cancer Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 425 E Holyoke Pl, Claremont, California |
| Authorized Official Name and Position | Asif Siddiq (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 9097027602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Skin Cancer Care Inc 517 N Mountain Ave Upland CA 91786-5016 Ph: (909) 702-7602 | Spectrum Skin Cancer Care Inc 425 E Holyoke Pl Claremont CA 91711-1979 Ph: (909) 702-7602 |
| NPI Number | 1790134047 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790134047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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