| Symonett Family Medical Center Inc | |
|
1035 S Mount Vernon Ave Ste F Colton CA 92324-4207 | |
| (909) 824-1060 | |
| (909) 824-0501 |
| Full Name | Symonett Family Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1035 S Mount Vernon Ave Ste F, Colton, California |
| Authorized Official Name and Position | Elmer Raymond Symonett (PRESIDENT) |
| Authorized Official Contact | 9098241060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Symonett Family Medical Center Inc 1035 S Mount Vernon Ave Ste F Colton CA 92324-4207 Ph: (909) 824-1060 | Symonett Family Medical Center Inc 1035 S Mount Vernon Ave Ste F Colton CA 92324-4207 Ph: (909) 824-1060 |
| NPI Number | 1255692372 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Medicare PECOS PAC ID | 3173761749 |
|---|---|
| Medicare Enrollment ID | O20130522000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255692372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Elmer R Symonett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144317579 PECOS PAC ID: 4981842556 Enrollment ID: I20130522000133 |
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