| Pro Vital Medical Group, Inc | |
|
1245 W 6th St Unit 105 Corona CA 92882-1870 | |
| (909) 284-9942 | |
| (909) 284-9943 |
| Full Name | Pro Vital Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1245 W 6th St Unit 105, Corona, California |
| Authorized Official Name and Position | Mohammad Qureashi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9092849942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Vital Medical Group, Inc 1245 W 6th St Unit 105 Corona CA 92882-1870 Ph: (909) 284-9942 | Pro Vital Medical Group, Inc 1245 W 6th St Unit 105 Corona CA 92882-1870 Ph: (909) 284-9942 |
| NPI Number | 1134927858 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 05/19/2026 |
| Medicare PECOS PAC ID | 8325560378 |
|---|---|
| Medicare Enrollment ID | O20250319001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134927858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mohammad Qureashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124513163 PECOS PAC ID: 2466797477 Enrollment ID: I20210715003021 |
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