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2151 N Harbor Blvd Suite 3200 Fullerton CA 92835-3820 | |
(714) 446-5101 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2151 N Harbor Blvd, Fullerton, California |
Authorized Official Name and Position | John Bennett (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 7144494800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4841 | 2151 N Harbor Blvd Suite 3200 Fullerton CA 92835-3820 Ph: (714) 446-5101 |
NPI Number | 1124324579 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 02/02/2011 |
Identifier | Type | State | Issuer |
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1124324579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015 | |