| Impact Care Access Network Inc | |
|
9390 Hesperia Rd Suite # 7 Hesperia CA 92345-3602 | |
| (760) 998-2125 | |
| (760) 948-0723 |
| Full Name | Impact Care Access Network Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9390 Hesperia Rd, Hesperia, California |
| Authorized Official Name and Position | Philip Dimitrios Kouros (MEDICAL DOCTOR) |
| Authorized Official Contact | 7609484219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Care Access Network Inc 9390 Hesperia Rd Suite # 7 Hesperia CA 92345-3602 Ph: (760) 998-2125 | Impact Care Access Network Inc 9390 Hesperia Rd Suite # 7 Hesperia CA 92345-3602 Ph: (760) 998-2125 |
| NPI Number | 1861858904 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861858904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G69428 (California) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | G69428 (California) | Secondary |
Alliance Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17081 Main St, Hesperia, CA 92345 Phone: 760-956-4135 Fax: 760-244-3546 | |
Keen Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12021 Jacaranda Ave, Hesperia, CA 92345 Phone: 760-956-5057 Fax: 760-948-2179 | |
We Win For Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17497 Main St, Hesperia, CA 92345 Phone: 760-956-9385 | |
Evercare Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16281 Main St Ste B, Hesperia, CA 92345 Phone: 442-800-5300 | |
Impact Care Access Network Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9390 Hesperia Rd Ste 7, Hesperia, CA 92345 Phone: 760-998-3550 Fax: 760-998-3552 | |
Desert Valley Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17450 Main St, Hesperia, CA 92345 Phone: 760-241-8000 | |
High Desert Specialty Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17077 Main St, Hesperia, CA 92345 Phone: 760-956-4128 Fax: 760-949-8572 |