Cosent | |
6627 Murrietta Ct Rancho Cucamonga CA 91739-9556 | |
(909) 793-5511 | |
Not Available |
Full Name | Cosent |
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Speciality | Internal Medicine |
Location | 6627 Murrietta Ct, Rancho Cucamonga, California |
Authorized Official Name and Position | Marlise Negrette (ACCOUNT MANAGER) |
Authorized Official Contact | 9097935511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cosent 6627 Murrietta Ct Rancho Cucamonga CA 91739-9556 Ph: (909) 793-5511 | Cosent 6627 Murrietta Ct Rancho Cucamonga CA 91739-9556 Ph: (909) 793-5511 |
NPI Number | 1659941995 |
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Provider Enumeration Date | 06/29/2021 |
Last Update Date | 06/29/2021 |
Medicare PECOS PAC ID | 2961892930 |
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Medicare Enrollment ID | O20211206002160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659941995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Justin Fu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447447818 PECOS PAC ID: 1052489077 Enrollment ID: I20081003000675 |
Provider Name | Talal Samaan |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356699821 PECOS PAC ID: 2668609215 Enrollment ID: I20131205001825 |
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