| Win Family Medicine Inc | |
|
811 E 11th St Ste 205 Upland CA 91786-4872 | |
| (909) 931-5106 | |
| (909) 931-5029 |
| Full Name | Win Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 811 E 11th St Ste 205, Upland, California |
| Authorized Official Name and Position | Sandar Win (PRESIDENT) |
| Authorized Official Contact | 9099315106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Win Family Medicine Inc 811 E 11th St Ste 205 Upland CA 91786-4872 Ph: (909) 931-5106 | Win Family Medicine Inc 811 E 11th St Ste 205 Upland CA 91786-4872 Ph: (909) 931-5106 |
| NPI Number | 1760852966 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 06/15/2020 |
| Medicare PECOS PAC ID | 9537479480 |
|---|---|
| Medicare Enrollment ID | O20151105002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760852966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A100405 (California) | Primary |
| Provider Name | Sandar Win |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063613578 PECOS PAC ID: 8628163672 Enrollment ID: I20071004000883 |
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