| Yangdong He Medical Corporation | |
|
5411 Duncaster Pl Rancho Cucamonga CA 91739 | |
| (734) 358-2738 | |
| Not Available |
| Full Name | Yangdong He Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5411 Duncaster Pl, Rancho Cucamonga, California |
| Authorized Official Name and Position | Yangdong He (OWNER) |
| Authorized Official Contact | 7343582738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yangdong He Medical Corporation 5411 Duncaster Pl Rancho Cucamonga CA 91739-2603 Ph: (734) 358-2738 | Yangdong He Medical Corporation 5411 Duncaster Pl Rancho Cucamonga CA 91739 Ph: (734) 358-2738 |
| NPI Number | 1235620261 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 5092061952 |
|---|---|
| Medicare Enrollment ID | O20180706001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235620261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A135621 (California) | Primary |
| Provider Name | Yangdong He |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386907038 PECOS PAC ID: 1153635560 Enrollment ID: I20150729009209 |
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