| |
2141 N Harbor Blvd Suite 25000 Fullerton CA 92835-3827 | |
(714) 626-8610 | |
(714) 626-8655 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 2141 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 |
---|---|
279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4800 | 2141 N Harbor Blvd Suite 25000 Fullerton CA 92835-3827 Ph: (714) 626-8610 |
NPI Number | 1700214913 |
---|---|
Provider Enumeration Date | 10/25/2013 |
Last Update Date | 01/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700214913 | NPI | - | NPPES |
6852510003 | Other | CA | NSC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal 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 | |