| Montana Affinity Clinic Llc | |
|
820 N Mountain Ave Ste 103 Upland CA 91786-0000 | |
| (909) 236-5575 | |
| Not Available |
| Full Name | Montana Affinity Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 820 N Mountain Ave Ste 103, Upland, California |
| Authorized Official Name and Position | Josephine Baisa Montana (OWNER) |
| Authorized Official Contact | 9092365575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Affinity Clinic Llc 9330 Alderwood Dr Rancho Cucamonga CA 91730-7966 Ph: (424) 278-8846 | Montana Affinity Clinic Llc 820 N Mountain Ave Ste 103 Upland CA 91786-0000 Ph: (909) 236-5575 |
| NPI Number | 1205435864 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 01/06/2021 |
| Medicare PECOS PAC ID | 7113330457 |
|---|---|
| Medicare Enrollment ID | O20210106001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205435864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Josephine Baisa Montana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417984782 PECOS PAC ID: 6204017767 Enrollment ID: I20110217000084 |
John J Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N 13th Ave, Upland, CA 91786 Phone: 909-981-8905 Fax: 909-982-8051 | |
Upland Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N 2nd Ave, Upland, CA 91786 Phone: 909-920-9193 Fax: 909-920-6019 | |
Inland Empire Medical Network,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Suite C, Upland, CA 91786 Phone: 909-981-8599 Fax: 909-981-5441 | |
Basim Z. Abdelkarim, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1310 San Bernardino Rd Ste 103, Upland, CA 91786 Phone: 909-920-0444 Fax: 909-920-5044 | |
Edge Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 440 N Mountain Ave Ste 110, Upland, CA 91786 Phone: 909-870-5200 Fax: 909-870-5188 | |
Karnavy Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 7th St, Ste. 2e, Upland, CA 91786 Phone: 909-982-8976 Fax: 909-920-3176 | |
Generoso S Nery M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 E Foothill Blvd, Suite 135, Upland, CA 91786 Phone: 909-931-1368 Fax: 909-931-1372 |