| Eddy Mydouangchanh, | |
|
550 S Eremland Dr, Covina, CA 91723-3100 | |
| (626) 332-7829 | |
| (626) 332-7829 |
| Full Name | Eddy Mydouangchanh |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 550 S Eremland Dr, Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497177844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5542 (Oregon) | Secondary |
| 111N00000X | Chiropractor | 34895 (California) | Primary |
| Provider Name | Mdc Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326456641 PECOS PAC ID: 7517213655 Enrollment ID: O20181126001502 |
| Provider Name | Aspen Chiropractic Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801381470 PECOS PAC ID: 0244573194 Enrollment ID: O20190516003156 |
| Provider Name | Sunnybrook Chiropractic Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376184564 PECOS PAC ID: 3577912542 Enrollment ID: O20231215002003 |
| Mailing Address | Practice Location Address |
|---|---|
| Eddy Mydouangchanh, 550 S Eremland Dr, Covina, CA 91723-3100 Ph: (626) 332-7829 | Eddy Mydouangchanh, 550 S Eremland Dr, Covina, CA 91723-3100 Ph: (626) 332-7829 |
Cynthia Sanchez-salgado, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1224 Heritage Way, Covina, CA 91724 Phone: 626-367-9039 Fax: 626-859-3406 | |
Eddy Crypto Chiropractic Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 550 S Eremland Dr, Covina, CA 91723 Phone: 626-332-7829 Fax: 626-966-0235 | |
Mrs. Mary Ellen Wiesenfarth Simone, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 W San Bernardino Rd, Covina, CA 91723 Phone: 626-967-3553 Fax: 626-967-1523 | |
Olman Mata, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 461 W Badillo St, Covina, CA 91723 Phone: 626-966-4469 Fax: 626-915-8929 | |
Dr. Jay R. Robbins, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 245 W Badillo St Ste E, Covina, CA 91723 Phone: 626-967-6461 Fax: 626-332-4264 | |
Richard L. Cruz, D.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 149 W College St, Covina, CA 91723 Phone: 626-966-9084 Fax: 626-966-9084 | |
Dr. Richard L. Cruz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 133 N Citrus Ave Ste 201, Covina, CA 91723 Phone: 626-966-9084 Fax: 626-966-9084 |