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S. Krishnan Md Inc
Primary Care Clinic/Center in Hemet, California
NPI 1043526882

S. Krishnan Md Inc is a Primary Care Clinic/Center based in Hemet, CA and is specialized in Primary Care. S. Krishnan Md Inc practices in Hemet, CA. The NPI Number for S. Krishnan Md Inc is 1043526882 and holds a License No. A054481 (California).

The current practice location address for S. Krishnan Md Inc is 1031 E Latham Ave, Hemet, CA and can be reached out via phone at 951-766-7030 and via fax at 951-766-5800.

Location: 1031 E Latham Ave, Hemet, CA, 92543-4425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043526882
Provider Name
S. Krishnan Md Inc
Credential
Provider Entity Type
Organization
Address
1031 E Latham Ave, Hemet, CA, 92543-4425
Phone Number
951-766-7030
Fax Number
951-766-5800
Provider Enumeration Date
08/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A544810 01 CA MEDICARE PTAN
4882835 05 CA
1023047198 01 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1031 E Latham Ave
City
Hemet
State
California
Zip
92543-4425
Phone Number
951-766-7030
Fax Number
951-766-5800
person
Provider Business Mailing Address Details
Address
1031 E Latham Ave
City
Hemet
State
California
Zip
92543-4425
Phone Number
951-766-7030
Fax Number
951-766-5800
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A054481 (California)
Definition
Definition to come...
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