| Rancho Cucamonga Perpetual Help Medical Corporation | |
|
8112 Milliken Ave Ste 100 Rancho Cucamonga CA 91730-7472 | |
| (909) 466-6410 | |
| (909) 466-5667 |
| Full Name | Rancho Cucamonga Perpetual Help Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8112 Milliken Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Florencia T Tampoya (PHYSICIAN OWNER) |
| Authorized Official Contact | 9094666410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Cucamonga Perpetual Help Medical Corporation 8112 Milliken Ave Ste 100 Rancho Cucamonga CA 91730-7472 Ph: (909) 466-6410 | Rancho Cucamonga Perpetual Help Medical Corporation 8112 Milliken Ave Ste 100 Rancho Cucamonga CA 91730-7472 Ph: (909) 466-6410 |
| NPI Number | 1215909130 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 11/21/2016 |
| Medicare PECOS PAC ID | 1557329794 |
|---|---|
| Medicare Enrollment ID | O20081124000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215909130 | NPI | - | NPPES |
| GR0101410 | Medicaid | CA | |
| ZZZ07974Z | Other | CA | BLUE SHIELD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A47994 (California) | Primary |
| Provider Name | Eldine A Banquerigo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851367528 PECOS PAC ID: 2668378738 Enrollment ID: I20031209001124 |
| Provider Name | Florence T Tampoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518931450 PECOS PAC ID: 7810955051 Enrollment ID: I20050218000343 |
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Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
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Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 | |
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