| Morris Kokhab, M.d., A Medical Corporation | |
|
974 W Foothill Blvd Upland CA 91786-3728 | |
| (909) 932-1122 | |
| (909) 932-9292 |
| Full Name | Morris Kokhab, M.d., A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 974 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Morris Kokhab (PRESIDENT) |
| Authorized Official Contact | 9099321122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Kokhab, M.d., A Medical Corporation 974 W Foothill Blvd Upland CA 91786-3728 Ph: (909) 932-1122 | Morris Kokhab, M.d., A Medical Corporation 974 W Foothill Blvd Upland CA 91786-3728 Ph: (909) 932-1122 |
| NPI Number | 1821271420 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 1951462472 |
|---|---|
| Medicare Enrollment ID | O20081202000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821271420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A75850 (California) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | A75850 (California) | Primary |
| Provider Name | Morris Kokhab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245248681 PECOS PAC ID: 4385628767 Enrollment ID: I20040614001686 |
| Provider Name | Stacey J Schulman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861458911 PECOS PAC ID: 4587792411 Enrollment ID: I20100513000261 |
| Provider Name | Amro Balki |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922237593 PECOS PAC ID: 1153572557 Enrollment ID: I20140917003177 |
| Provider Name | Ebrahim Sadeghi-najafabadi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205156866 PECOS PAC ID: 4385959857 Enrollment ID: I20161012002832 |
| Provider Name | Elham Taherian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457476707 PECOS PAC ID: 8729121918 Enrollment ID: I20180206002278 |
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