Organization
CORONA MEDICAL CENTER, A PROFESSIONAL CORPORATION
Active
Other names
Corona Family Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMRAN HASNAIN M.D. (PRESIDENT)
(951) 737-1000
Entity
Organization
Contact information
Practice address
1157 W GRAND BLVD, CORONA, CA 92882-4364
(951) 737-1000
(951) 737-1558
Mailing address
PO BOX 3070, CORONA, CA 92878-3070
(951) 737-1000
(951) 737-1558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00A732183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625788470
—
CA
Enumeration date
08/23/2006
Last updated
03/08/2011
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