| Allcare Family Clinic Inc. | |
|
1781 3rd St Norco CA 92860 | |
| (951) 279-4900 | |
| (951) 279-4111 |
| Full Name | Allcare Family Clinic Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1781 3rd St, Norco, California |
| Authorized Official Name and Position | Martin T Ahn (PRESIDENT) |
| Authorized Official Contact | 7145259900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allcare Family Clinic Inc. 1781 3rd St Norco CA 92860-2670 Ph: (951) 279-4900 | Allcare Family Clinic Inc. 1781 3rd St Norco CA 92860 Ph: (951) 279-4900 |
| NPI Number | 1972742328 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 07/20/2018 |
| Medicare PECOS PAC ID | 2860539707 |
|---|---|
| Medicare Enrollment ID | O20091026000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972742328 | NPI | - | NPPES |
| CI236A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85576 (California) | Primary |
| Provider Name | Martin Taehung Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649342171 PECOS PAC ID: 7517936446 Enrollment ID: I20040928000847 |
| Provider Name | Soojin Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003277260 PECOS PAC ID: 1153695168 Enrollment ID: I20170914001284 |
| Provider Name | Caitlyn Jeein Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003462722 PECOS PAC ID: 1951778414 Enrollment ID: I20221114000604 |
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