| Kohut Psychiatric Medical Group Inc | |
|
1800 Medical Center Drive Suite 300 San Bernardino CA 92411 | |
| (909) 887-6222 | |
| (909) 887-4565 |
| Full Name | Kohut Psychiatric Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1800 Medical Center Drive, San Bernardino, California |
| Authorized Official Name and Position | John Joel Kohut (PSYCHIATRY) |
| Authorized Official Contact | 9098876222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohut Psychiatric Medical Group Inc 1800 Medical Center Drive Suite 300 San Bernardino CA 92411 Ph: (909) 887-6222 | Kohut Psychiatric Medical Group Inc 1800 Medical Center Drive Suite 300 San Bernardino CA 92411 Ph: (909) 887-6222 |
| NPI Number | 1245259258 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 06/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245259258 | NPI | - | NPPES |
| ZZZ59319Z | Other | BLUE SHIELD | |
| GR0040560 | Other | CA | MEDICAL |
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