| West Coast Post Acute Physicians, Inc. | |
|
1690 Barton Rd Ste 106 Redlands CA 92373-4230 | |
| (909) 886-4917 | |
| (909) 886-0699 |
| Full Name | West Coast Post Acute Physicians, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1690 Barton Rd Ste 106, Redlands, California |
| Authorized Official Name and Position | Jean-claude Hage (COMPLIANCE) |
| Authorized Official Contact | 9098864917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Post Acute Physicians, Inc. 1690 Barton Rd Ste 106 Redlands CA 92373-4230 Ph: (909) 886-4917 | West Coast Post Acute Physicians, Inc. 1690 Barton Rd Ste 106 Redlands CA 92373-4230 Ph: (909) 886-4917 |
| NPI Number | 1407371115 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 09/01/2020 |
| Medicare PECOS PAC ID | 0143584847 |
|---|---|
| Medicare Enrollment ID | O20180504001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407371115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jean Claude E Hage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982646832 PECOS PAC ID: 2062505506 Enrollment ID: I20070829000717 |
| Provider Name | Mihir K Sanghvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275827636 PECOS PAC ID: 8820224744 Enrollment ID: I20131126000215 |
| Provider Name | Marirose L Adlao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639508112 PECOS PAC ID: 4082926522 Enrollment ID: I20150711000079 |
| Provider Name | Sepehr Golboo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164836896 PECOS PAC ID: 7719259084 Enrollment ID: I20170821003378 |
| Provider Name | Jonathan Wibisono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992158653 PECOS PAC ID: 4789949041 Enrollment ID: I20180607002282 |
| Provider Name | Sylvia P Heiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508395229 PECOS PAC ID: 8729333406 Enrollment ID: I20180620003019 |
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