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FERAS AND HISHAM A MEDICAL CORPORATION NPI 1700055274


NPI Information

NPI: 1700055274
Provider Name: FERAS AND HISHAM A MEDICAL CORPORATION

Doing Business As: ST. J OHN MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2112 S GAREY AVE
SUITE C
POMONA, CA
ZIP 91766
Phone: (909) 464-0520
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FERAS AND HISHAM A MEDICAL CORPORATION is a general practice in Pomona, CA. FERAS AND HISHAM A MEDICAL CORPORATION NPI is 1700055274. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. J Ohn Medical Clinic.

The provider's business location address is:

2112 S GAREY AVE
SUITE C
POMONA, CA
ZIP 91766-600
Phone: (909) 464-0520
Fax: (909) 464-0523

The provider's authorized official is Stephen E Calvert .
The authorized official title is M.d./ Owner and has the following contact phone number (909) 464-0520.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 9/26/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA30899CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083747612MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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