| Sullivan Medical Corporation | |
|
1175 E Arrow Highway Suite B Upland CA 91786 | |
| (909) 985-1891 | |
| (909) 985-0121 |
| Full Name | Sullivan Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1175 E Arrow Highway Suite B, Upland, California |
| Authorized Official Name and Position | John W Sullivan (VICE-PRESIDENT) |
| Authorized Official Contact | 9099851891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Medical Corporation 1175 E Arrow Highway Suite B Upland CA 91786 Ph: (909) 985-1891 | Sullivan Medical Corporation 1175 E Arrow Highway Suite B Upland CA 91786 Ph: (909) 985-1891 |
| NPI Number | 1790881092 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790881092 | NPI | - | NPPES |
| 00A199910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
John J Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N 13th Ave, Upland, CA 91786 Phone: 909-981-8905 Fax: 909-982-8051 | |
Upland Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N 2nd Ave, Upland, CA 91786 Phone: 909-920-9193 Fax: 909-920-6019 | |
Inland Empire Medical Network,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Suite C, Upland, CA 91786 Phone: 909-981-8599 Fax: 909-981-5441 | |
Basim Z. Abdelkarim, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1310 San Bernardino Rd Ste 103, Upland, CA 91786 Phone: 909-920-0444 Fax: 909-920-5044 | |
Edge Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 440 N Mountain Ave Ste 110, Upland, CA 91786 Phone: 909-870-5200 Fax: 909-870-5188 | |
Karnavy Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 7th St, Ste. 2e, Upland, CA 91786 Phone: 909-982-8976 Fax: 909-920-3176 | |
Generoso S Nery M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 E Foothill Blvd, Suite 135, Upland, CA 91786 Phone: 909-931-1368 Fax: 909-931-1372 |