| Borrego Stat Care Inc | |
|
587 Palm Canyon Dr # 215 Borrego Springs CA 92004-4000 | |
| (760) 837-0321 | |
| (760) 837-9114 |
| Full Name | Borrego Stat Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 587 Palm Canyon Dr # 215, Borrego Springs, California |
| Authorized Official Name and Position | Monica Lucero (OFFICE MANAGER) |
| Authorized Official Contact | 7608370321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borrego Stat Care Inc Po Box 960 Borrego Springs CA 92004-0960 Ph: (760) 284-1044 | Borrego Stat Care Inc 587 Palm Canyon Dr # 215 Borrego Springs CA 92004-4000 Ph: (760) 837-0321 |
| NPI Number | 1225890346 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 1355888264 |
|---|---|
| Medicare Enrollment ID | O20240808002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225890346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Homayoun Siman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477971125 PECOS PAC ID: 2567728777 Enrollment ID: I20171103001112 |
Desert Aids Project Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Palm Canyon Dr Ste 212, Borrego Springs, CA 92004 Phone: 760-767-5112 Fax: 760-767-5613 | |
Dap Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4343 Yaqui Pass Rd, Borrego Springs, CA 92004 Phone: 760-767-5051 Fax: 760-767-4552 | |
Desert Aids Project Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Yaqui Pass Rd, Borrego Springs, CA 92004 Phone: 760-767-5051 Fax: 760-767-4552 | |
Borrego Community Health Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Palm Canyon Drive, Suite 212, Borrego Springs, CA 92004 Phone: 760-767-5112 Fax: 760-767-5613 | |
Borrego Community Health Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Palm Canyon Dr., Ste. C, Borrego Springs, CA 92004 Phone: 760-767-4777 Fax: 760-767-4690 |