| Great Medical Llc | |
| 
					9591 Foothill Blvd Rancho Cucamonga CA 91730-3506  | |
| (909) 747-4531 | |
| Not Available | 
| Full Name | Great Medical Llc | 
|---|---|
| Speciality | Clinic/center - Health Service | 
| Location | 9591 Foothill Blvd, Rancho Cucamonga, California | 
| Authorized Official Name and Position | Charles Jerod Williams (OWNER) | 
| Authorized Official Contact | 9199395111 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Great Medical Llc 1508 Barton Rd # 116 Redlands CA 92373-1410 Ph: (919) 939-5111  | Great Medical Llc 9591 Foothill Blvd Rancho Cucamonga CA 91730-3506 Ph: (909) 747-4531  | 
| NPI Number | 1073106027 | 
|---|---|
| Provider Enumeration Date | 02/19/2021 | 
| Last Update Date | 02/19/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073106027 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary | 
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary | 
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577  | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304  | |
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Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215  | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598  | |
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