| Patrick & Edivina Gonzales Medical Group Inc | |
|
29798 Haun Rd Suite 106 Menifee CA 92586-6541 | |
| (951) 301-3588 | |
| (951) 301-4309 |
| Full Name | Patrick & Edivina Gonzales Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29798 Haun Rd, Menifee, California |
| Authorized Official Name and Position | Patrick D. Gonzales (PRESIDENT) |
| Authorized Official Contact | 9513013588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick & Edivina Gonzales Medical Group Inc 29798 Haun Rd Suite 106 Menifee CA 92586-6541 Ph: (951) 301-3588 | Patrick & Edivina Gonzales Medical Group Inc 29798 Haun Rd Suite 106 Menifee CA 92586-6541 Ph: (951) 301-3588 |
| NPI Number | 1619905080 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 07/03/2008 |
| Medicare PECOS PAC ID | 5991767873 |
|---|---|
| Medicare Enrollment ID | O20041102001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619905080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A506690 (California) | Primary |
| Provider Name | Edivina B Gonzales |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386670479 PECOS PAC ID: 6305808296 Enrollment ID: I20041102001092 |
| Provider Name | Patrick D Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194751289 PECOS PAC ID: 8325000201 Enrollment ID: I20041102001123 |
Premier Hospitalist & Post-acute Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29826 Haun Rd, Suite102, Menifee, CA 92586 Phone: 951-672-4900 Fax: 888-410-4699 | |
James P. Krieg M.d., Med Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29826 Haun Rd, Suite 203, Menifee, CA 92586 Phone: 951-672-1911 Fax: 951-672-8406 | |
Zebarjadi Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27819 Sagebrush Rd, Menifee, CA 92585 Phone: 415-827-1483 | |
Kamaldeep Panach, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29826 Haun Rd Ste 302, Menifee, CA 92586 Phone: 951-672-1911 | |
Poiema Health Nursing Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26681 North Fork Way, Menifee, CA 92586 Phone: 714-331-9431 | |
Banzon Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hope Medical Arts Plaza 29798 Road, Suite #106, Menifee, CA 92586 Phone: 951-301-3588 |