MOWBRAY P. HAGAN, M.D. INC. (NPI# 1356353361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356353361 |
| Entity Type | Organization |
| Organization Name | MOWBRAY P. HAGAN, M.D. INC. |
| Practice Address |
500 Corona Mall Corona CA 92879-1420 |
| Practice Telephone | 9517346110 |
| Practice Fax Number | 9517349989 |
| Mailing Telephone | 9517346110 |
| Mailing Fax Number | 9517349989 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | DR. MOWBRAY P. HAGAN (PRESIDENT) |
| Authorized Official Telephone | 9517346110 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A29431 | CA | Ambulatory Health Care Facilities |
| Street Address |
500 CORONA MALL |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780634857 | Xinke Chen | General Practice | 500 Corona Mall, Corona, CA 92879-1420 | 2006-05-11 |
| 1356670905 | Xinke Chen Md, Inc. | Internal Medicine | 500 Corona Mall, Corona, CA 92879-1420 | 2009-12-10 |
| 1982766069 | Greater Corona Extended Care, Inc.. | Clinic/Center | 500 Corona Mall, Corona, CA 92879-1420 | 2006-12-14 |
| 1467470450 | Richard R Dalessandro | Physician Assistant | 500 Corona Mall, Corona, CA 92879 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1740492347 | National Pediatric Center | Clinic/Center | 102-11 National Street, Corona, NY 11368 | 2007-05-04 |
| 1144571985 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 602 W 6th St, Corona, CA 92882-3209 | 2012-09-19 |
| 1215103304 | Rebecca Torres Md A Medical Corporation | Clinic/Center | 1530 W 6th St, Ste. 109, Corona, CA 92882-2742 | 2008-05-08 |
| 1083805741 | Sop Medical PC | Clinic/Center | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2007-08-07 |
| 1790878569 | Yvonne D'sylva M.d,inc | Clinic/Center | 770 Magnolia Ave Ste 2a, Corona, CA 92879-3122 | 2006-10-02 |
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| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
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| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.