| In Your Best Interest Medical Clinic, Inc. | |
|
1201 Brookside Ave Redlands CA 92373-4402 | |
| (909) 798-3331 | |
| Not Available |
| Full Name | In Your Best Interest Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Brookside Ave, Redlands, California |
| Authorized Official Name and Position | Alesandra Wilson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9097983331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Your Best Interest Medical Clinic, Inc. 1201 Brookside Ave Redlands CA 92373-4402 Ph: (909) 798-3331 | In Your Best Interest Medical Clinic, Inc. 1201 Brookside Ave Redlands CA 92373-4402 Ph: (909) 798-3331 |
| NPI Number | 1467645762 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Medicare PECOS PAC ID | 9638365174 |
|---|---|
| Medicare Enrollment ID | O20101123001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467645762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A046504 (California) | Secondary |
| 261QH0100X | Clinic/center - Health Service | A046504 (California) | Primary |
| Provider Name | Steven Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548291081 PECOS PAC ID: 8628264165 Enrollment ID: I20101123001232 |
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