| F Jimenez Medical Corporation | |
|
360 E 7th St Ste D Upland CA 91786-6701 | |
| (909) 920-9193 | |
| (909) 920-6019 |
| Full Name | F Jimenez Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 360 E 7th St Ste D, Upland, California |
| Authorized Official Name and Position | Jimenez Francisco A (PHYSICIAN) |
| Authorized Official Contact | 7143571944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Jimenez Medical Corporation 360 E 7th St Ste D Upland CA 91786-6701 Ph: (909) 920-9193 | F Jimenez Medical Corporation 360 E 7th St Ste D Upland CA 91786-6701 Ph: (909) 920-9193 |
| NPI Number | 1447700034 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/07/2016 |
| Medicare PECOS PAC ID | 3072887678 |
|---|---|
| Medicare Enrollment ID | O20170920003049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447700034 | NPI | - | NPPES |
| 00A403050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A40305 (California) | Primary |
| Provider Name | Francisco A Jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972696573 PECOS PAC ID: 2062493059 Enrollment ID: I20040526000527 |
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F Jimenez Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N 2nd Ave, Upland, CA 91786 Phone: 909-920-9193 Fax: 909-920-6019 | |
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