| Usborne Family Medicine | |
|
256 W San Bernardino Rd Covina CA 91723-1515 | |
| (626) 938-1080 | |
| Not Available |
| Full Name | Usborne Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 256 W San Bernardino Rd, Covina, California |
| Authorized Official Name and Position | Paul Usborne (PRESIDENT) |
| Authorized Official Contact | 6269381080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usborne Family Medicine 256 W San Bernardino Rd Covina CA 91723-1515 Ph: (626) 938-1080 | Usborne Family Medicine 256 W San Bernardino Rd Covina CA 91723-1515 Ph: (626) 938-1080 |
| NPI Number | 1568743169 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 5294959185 |
|---|---|
| Medicare Enrollment ID | O20140616001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568743169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A94585 (California) | Primary |
| Provider Name | Paul S Usborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871513077 PECOS PAC ID: 8325040041 Enrollment ID: I20070209000177 |
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