| San Bernardino Clinica Medica Familiar | |
|
407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 | |
| (909) 889-1136 | |
| (909) 889-2816 |
| Full Name | San Bernardino Clinica Medica Familiar |
|---|---|
| Speciality | Family Medicine |
| Location | 407 E Gilbert St Ste 1, San Bernardino, California |
| Authorized Official Name and Position | Octavio Ruiz-villalpando (MEDICAL DIRECTOR/ OWNER) |
| Authorized Official Contact | 9098891136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino Clinica Medica Familiar 407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 Ph: (909) 889-1136 | San Bernardino Clinica Medica Familiar 407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 Ph: (909) 889-1136 |
| NPI Number | 1487752895 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/20/2012 |
| Medicare PECOS PAC ID | 0749228484 |
|---|---|
| Medicare Enrollment ID | O20050421001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487752895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nabil F Khalil |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649387879 PECOS PAC ID: 7810029949 Enrollment ID: I20100728000987 |
| Provider Name | Kamal K Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982715843 PECOS PAC ID: 8224207501 Enrollment ID: I20110802000544 |
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Melody Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1873 Commerce Center West, San Bernardino, CA 92408 Phone: 909-890-5511 Fax: 909-890-4599 | |
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Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
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