| Universal Multi Specialty Medical Group Inc | |
|
1650 S Euclid Ave Ontario CA 91762-5824 | |
| (909) 391-4138 | |
| (909) 391-4395 |
| Full Name | Universal Multi Specialty Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1650 S Euclid Ave, Ontario, California |
| Authorized Official Name and Position | Ajay G Meka (PHYSICIAN) |
| Authorized Official Contact | 9093914138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Multi Specialty Medical Group Inc 1650 S Euclid Ave Ontario CA 91762-5824 Ph: (909) 391-4138 | Universal Multi Specialty Medical Group Inc 1650 S Euclid Ave Ontario CA 91762-5824 Ph: (909) 391-4138 |
| NPI Number | 1124543129 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5890038616 |
|---|---|
| Medicare Enrollment ID | O20190520000976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124543129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ajay G Meka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063527976 PECOS PAC ID: 2062300163 Enrollment ID: I20040309001436 |
| Provider Name | Meena K Meka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013338722 PECOS PAC ID: 8123245644 Enrollment ID: I20140806002750 |
| Provider Name | Mabel E Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689074619 PECOS PAC ID: 5698091007 Enrollment ID: I20151210001548 |
| Provider Name | Udoh O Obioha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154366946 PECOS PAC ID: 5193741163 Enrollment ID: I20190501001815 |
| Provider Name | Noel Estioko |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306890595 PECOS PAC ID: 4789666801 Enrollment ID: I20221004003752 |
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