St. John Medical Clinic
LBN: Feras And Hisham A Medical Corporation
St. John Medical Clinic is an health care organization with primary practice located at 2112 S Garey Ave Suite C, Pomona CA 91766-5600. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty.
Feras And Hisham A Medical Corporation can be contacted via phone (909) 464-0520, or through Defrawy, Mosen M via phone (909) 464-0520.
Contact Information
Primary practice address
2112 S Garey Ave Suite C
Pomona CA 91766-5600
Phone: (909) 464-0520
Fax: (909) 464-0523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A30899 | California |
| Ambulatory Health Care Facilities / Health Service | 261QH0100X |
Profile Details
| NPI number | 1700055274 |
|---|---|
| LBN Legal business name | Feras And Hisham A Medical Corporation |
| DBA Doing business as | St. John Medical Clinic |
| Authorized official | Defrawy, Mosen M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2008 |
| Last updated | Jul 12th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700055274 | NPPES |
| California | MEDICAID | 1083747612 |
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