Generoso S Nery M D Inc | |
1183 E Foothill Blvd Suite 135 Upland CA 91786-4079 | |
(909) 931-1368 | |
(909) 931-1372 |
Full Name | Generoso S Nery M D Inc |
---|---|
Speciality | Family Medicine |
Location | 1183 E Foothill Blvd, Upland, California |
Authorized Official Name and Position | Generoso Santos Nery (PRESIDENT) |
Authorized Official Contact | 9099311368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Generoso S Nery M D Inc 1183 E Foothill Blvd Suite 135 Upland CA 91786-4079 Ph: (909) 931-1368 | Generoso S Nery M D Inc 1183 E Foothill Blvd Suite 135 Upland CA 91786-4079 Ph: (909) 931-1368 |
NPI Number | 1164500559 |
---|---|
Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164500559 | NPI | - | NPPES |
00A310070 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A31007 (California) | Primary |
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