| Caitlin Date, | |
|
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
| (800) 780-1277 | |
| Not Available |
| Full Name | Caitlin Date |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972998847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A147188 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Date, 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 Ph: () - | Caitlin Date, 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (800) 780-1277 |
Arjang Kasravi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 800-780-1277 | |
Dr. Jennifer Jang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-813-4725 Fax: 626-813-4684 | |
Rody A. Yoshinaka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Carolyn Anne Hardy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Dennis Matejka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Dr. Jayon Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Previn J De Silva, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |