| Opus Medical | |
|
1611 Pomona Rd Ste 231 Corona CA 92878-4324 | |
| (888) 959-8652 | |
| Not Available |
| Full Name | Opus Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 1611 Pomona Rd Ste 231, Corona, California |
| Authorized Official Name and Position | Arnel Tejones (ASST ADMINISTRATOR) |
| Authorized Official Contact | 6262332148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opus Medical 1611 Pomona Rd Ste 231 Corona CA 92878-4324 Ph: (888) 959-8652 | Opus Medical 1611 Pomona Rd Ste 231 Corona CA 92878-4324 Ph: (888) 959-8652 |
| NPI Number | 1134914179 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Medicare PECOS PAC ID | 0446776793 |
|---|---|
| Medicare Enrollment ID | O20250801002730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134914179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Soledad Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063609097 PECOS PAC ID: 2567476898 Enrollment ID: I20090514000115 |
| Provider Name | Elmer Fortin Abreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567898 PECOS PAC ID: 3476088147 Enrollment ID: I20241119002161 |
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