| Cogent Healthcare Of California, Pc | |
|
2101 N Waterman Ave San Bernardino CA 92404-4836 | |
| (909) 881-4520 | |
| (908) 881-4528 |
| Full Name | Cogent Healthcare Of California, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 N Waterman Ave, San Bernardino, California |
| Authorized Official Name and Position | Dean Weiland (CEO) |
| Authorized Official Contact | 6153775600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of California, Pc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5670 | Cogent Healthcare Of California, Pc 2101 N Waterman Ave San Bernardino CA 92404-4836 Ph: (909) 881-4520 |
| NPI Number | 1366681074 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366681074 | NPI | - | NPPES |
| 2106039 | Medicaid | CA | |
| GR0103490 | Medicaid | CA | |
| ZZZ69865Z | Other | BLUE CROSS |
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