| Integrity Health Medical Group | |
|
12843 Mendocino Ridge Dr Riverside CA 92503-7013 | |
| (951) 818-2623 | |
| Not Available |
| Full Name | Integrity Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 12843 Mendocino Ridge Dr, Riverside, California |
| Authorized Official Name and Position | Qais Ayouby (OWNER) |
| Authorized Official Contact | 9518182623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Health Medical Group 12843 Mendocino Ridge Dr Riverside CA 92503-7013 Ph: () - | Integrity Health Medical Group 12843 Mendocino Ridge Dr Riverside CA 92503-7013 Ph: (951) 818-2623 |
| NPI Number | 1336960715 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 5799211629 |
|---|---|
| Medicare Enrollment ID | O20241216000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336960715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Qais Ayouby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154884351 PECOS PAC ID: 9931582608 Enrollment ID: I20220812000382 |
| Provider Name | Shuja Ayouby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134784655 PECOS PAC ID: 6709250756 Enrollment ID: I20230315000807 |
| Provider Name | Julie Farida Ayouby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093223042 PECOS PAC ID: 3476910027 Enrollment ID: I20230613001678 |
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