| Brent Pino, | |
|
789 E Cooley Dr, Colton, CA 92324-4007 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Brent Pino |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 789 E Cooley Dr, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063080943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A22506 (California) | Primary |
| Entity Name | Fcs Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649223777 PECOS PAC ID: 6709834112 Enrollment ID: O20050111001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Pino, 789 E Cooley Dr, Colton, CA 92324-4007 Ph: (833) 574-2273 | Brent Pino, 789 E Cooley Dr, Colton, CA 92324-4007 Ph: (833) 574-2273 |
Carolyn M Doherty, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Mob Suite 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Dr. Febbis Balinos, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Arrowhead Family Medical Group, Colton, CA 92324 Phone: 909-580-3370 | |
Carol Hyeun Lee, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Ms. Heather Bohn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper, Colton, CA 92324 Phone: 909-580-3366 Fax: 909-580-3332 | |
Ashley Jeanine Tan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Navkiran Kaur Bains, MD, MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Ste 301, Colton, CA 92324 Phone: 909-580-3366 |