Sameer Sunita Hassamal & Company, Apc | |
1113 Alta Ave Ste 106 Upland CA 91786-2803 | |
(909) 638-2475 | |
Not Available |
Full Name | Sameer Sunita Hassamal & Company, Apc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1113 Alta Ave Ste 106, Upland, California |
Authorized Official Name and Position | Sameer Hassamal (CEO) |
Authorized Official Contact | 6263991005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sameer Sunita Hassamal & Company, Apc 1113 Alta Ave Ste 106 Upland CA 91786-2803 Ph: (909) 638-2475 | Sameer Sunita Hassamal & Company, Apc 1113 Alta Ave Ste 106 Upland CA 91786-2803 Ph: (909) 638-2475 |
NPI Number | 1710691431 |
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Provider Enumeration Date | 01/09/2023 |
Last Update Date | 03/07/2025 |
Certification Date | 03/07/2025 |
Medicare PECOS PAC ID | 8426411380 |
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Medicare Enrollment ID | O20230825001524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710691431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sameer Kamal Hassamal |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538459011 PECOS PAC ID: 8921246877 Enrollment ID: I20151228000750 |
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