| |
1031 E Latham Ave #3 Hemet CA 92543-4425 | |
(951) 766-7030 | |
(951) 766-5800 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1031 E Latham Ave, Hemet, California |
Authorized Official Name and Position | Subbarayan Krishnan (OWNER) |
Authorized Official Contact | 9517667030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1031 E Latham Ave #3 Hemet CA 92543-4425 Ph: (951) 766-7030 | 1031 E Latham Ave #3 Hemet CA 92543-4425 Ph: (951) 766-7030 |
NPI Number | 1043526882 |
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Provider Enumeration Date | 08/30/2010 |
Last Update Date | 08/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043526882 | NPI | - | NPPES |
00A544810 | Other | CA | MEDICARE PTAN |
4882835 | Medicaid | CA | |
1023047198 01 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A054481 (California) | Primary |
Sreenivasa R. Nakka, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 949 Calhoun Pl, Ste A, Hemet, CA 92543 Phone: 951-929-1177 Fax: 951-765-9111 | |
Mdcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1278 E Latham Ave, Hemet, CA 92543 Phone: 951-537-9868 | |
Guilherme R Carvalho M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Santa Fe St, Ste A, Hemet, CA 92543 Phone: 951-652-6891 | |
Tri-state Community Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N San Jacinto St Ste P, Hemet, CA 92543 Phone: 951-929-4000 | |