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190 E Highland Ave San Bernardino CA 92404-3658 | |
(909) 882-4788 | |
(877) 778-9424 |
Full Name | |
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Speciality | Family Medicine |
Location | 190 E Highland Ave, San Bernardino, California |
Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT, CLINIC OPERATIONS) |
Authorized Official Contact | 6263462455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 Ph: (626) 346-2455 | 190 E Highland Ave San Bernardino CA 92404-3658 Ph: (909) 882-4788 |
NPI Number | 1972875680 |
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Provider Enumeration Date | 01/27/2012 |
Last Update Date | 02/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972875680 | NPI | - | NPPES |
APPROVED EFF 1/31/12 | Medicaid | CA | |
DU4034-EFF 3/11/12 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
208000000X | Pediatrics | (California) | Secondary |
Shuang Bai, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 502, San Bernardino, CA 92404 Phone: 909-883-3838 Fax: 909-792-5531 | |
Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
United Medical Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92480 Phone: 909-244-7430 Fax: 909-495-1380 |