Wound Rescue Specialist | |
275 W Hospitality Ln Ste 317 San Bernardino CA 92408-3265 | |
(909) 763-3363 | |
(909) 769-0109 |
Full Name | Wound Rescue Specialist |
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Speciality | Family Medicine |
Location | 275 W Hospitality Ln Ste 317, San Bernardino, California |
Authorized Official Name and Position | Behroz Hamkar (OWNER) |
Authorized Official Contact | 9097633363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wound Rescue Specialist 275 W Hospitality Ln Ste 317 San Bernardino CA 92408-3265 Ph: (909) 763-3363 | Wound Rescue Specialist 275 W Hospitality Ln Ste 317 San Bernardino CA 92408-3265 Ph: (909) 763-3363 |
NPI Number | 1295583250 |
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Provider Enumeration Date | 05/07/2024 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 6901343854 |
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Medicare Enrollment ID | O20240808004314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295583250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Kathleen B Mahony |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023124294 PECOS PAC ID: 6901848563 Enrollment ID: I20050524001430 |
Provider Name | Jenelyn Almonte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194211151 PECOS PAC ID: 1557612793 Enrollment ID: I20210202002404 |
Provider Name | Charming Sana Mendoza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891411997 PECOS PAC ID: 1355718370 Enrollment ID: I20221104000563 |
Provider Name | Jovelyn Urdaneta Galo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821830761 PECOS PAC ID: 9537694237 Enrollment ID: I20241118003297 |
Provider Name | Ann Marielle Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790520765 PECOS PAC ID: 1951836659 Enrollment ID: I20241118003497 |
Provider Name | Elmer Fortin Abreu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114567898 PECOS PAC ID: 3476088147 Enrollment ID: I20241119002161 |
Shuang Bai, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 502, San Bernardino, CA 92404 Phone: 909-883-3838 Fax: 909-792-5531 | |
Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
United Medical Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92480 Phone: 909-244-7430 Fax: 909-495-1380 |