Us Healthcare Inc | |
1869 N Waterman Ave Ste 200 San Bernardino CA 92404-4830 | |
(909) 881-0030 | |
(909) 881-0040 |
Full Name | Us Healthcare Inc |
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Speciality | Internal Medicine |
Location | 1869 N Waterman Ave Ste 200, San Bernardino, California |
Authorized Official Name and Position | Ousama Ismael (PRESIDENT) |
Authorized Official Contact | 9099960333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Us Healthcare Inc 12223 Highland Ave Suite 106-607 Rancho Cucamonga CA 91739-2574 Ph: () - | Us Healthcare Inc 1869 N Waterman Ave Ste 200 San Bernardino CA 92404-4830 Ph: (909) 881-0030 |
NPI Number | 1760843502 |
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Provider Enumeration Date | 03/07/2016 |
Last Update Date | 06/27/2022 |
Medicare PECOS PAC ID | 3476850629 |
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Medicare Enrollment ID | O20160401001525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760843502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A100770 (California) | Primary |
Provider Name | Ousama Ismael |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740451079 PECOS PAC ID: 1759560105 Enrollment ID: I20110201000184 |
Provider Name | Laura Kai Quaye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902299191 PECOS PAC ID: 6406160480 Enrollment ID: I20150804005837 |
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