| Totalcare Walk In Clinic Inc | |
|
13768 Roswell Ave Suite 118 Chino CA 91710-1401 | |
| (909) 591-8200 | |
| (866) 701-9305 |
| Full Name | Totalcare Walk In Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13768 Roswell Ave, Chino, California |
| Authorized Official Name and Position | Xiao-ling Zhang (CFO) |
| Authorized Official Contact | 9095918200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Totalcare Walk In Clinic Inc 13768 Roswell Ave Suite 118 Chino CA 91710-1401 Ph: (909) 591-8200 | Totalcare Walk In Clinic Inc 13768 Roswell Ave Suite 118 Chino CA 91710-1401 Ph: (909) 591-8200 |
| NPI Number | 1760689715 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 2769566363 |
|---|---|
| Medicare Enrollment ID | O20080220000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760689715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Xiao Ling Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780619502 PECOS PAC ID: 9638156136 Enrollment ID: I20040701001677 |
| Provider Name | Jasmine Leong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083627798 PECOS PAC ID: 4981649308 Enrollment ID: I20050624000945 |
| Provider Name | Jiangnan Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689680548 PECOS PAC ID: 3971528092 Enrollment ID: I20051007000659 |
| Provider Name | Agnes B Kintanar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073713962 PECOS PAC ID: 4284641572 Enrollment ID: I20060313000148 |
| Provider Name | Robert G Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104922491 PECOS PAC ID: 3870595010 Enrollment ID: I20070201000142 |
| Provider Name | Lin Aung Rex Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114193000 PECOS PAC ID: 5294078994 Enrollment ID: I20190521001976 |
| Provider Name | Sang Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578589115 PECOS PAC ID: 3971529868 Enrollment ID: I20200518002051 |
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