| Dr Jonathan Mark Wada, MD | |
|
440 N Barranca Ave Ste 7665, Covina, CA 91723-1722 | |
| (323) 203-0070 | |
| (310) 561-1902 |
| Full Name | Dr Jonathan Mark Wada |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 440 N Barranca Ave Ste 7665, 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 |
|---|---|---|---|
| 1780995068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2010018037 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | A121522 (California) | Primary |
| Entity Name | Hurtt Family Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306965587 PECOS PAC ID: 4183764814 Enrollment ID: O20110203000426 |
| Entity Name | Medzed Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366807760 PECOS PAC ID: 0547556540 Enrollment ID: O20160830002700 |
| Entity Name | Concertocare Medical Group Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922777259 PECOS PAC ID: 1850782186 Enrollment ID: O20211221002909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Mark Wada, MD 440 N Barranca Ave Ste 7665, Covina, CA 91723-1722 Ph: (323) 203-0070 | Dr Jonathan Mark Wada, MD 440 N Barranca Ave Ste 7665, Covina, CA 91723-1722 Ph: (323) 203-0070 |
Robert Leland Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Badillo St, Covina, CA 91723 Phone: 626-967-6225 Fax: 626-331-7925 | |
Dr. Ivan L Breed, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 605 E Badillo St, Suite 110, Covina, CA 91723 Phone: 626-917-5999 Fax: 626-917-5999 | |
Vicky L Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 S Barranca Ave, Covina, CA 91723 Phone: 626-732-8250 Fax: 626-858-8474 | |
Dr. Murtaza Rajabali, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 420 W Rowland St, Covina, CA 91723 Phone: 626-331-6411 Fax: 626-251-1559 | |
Dr. Jeffrey Kim-wayne Gin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 W Badillo St, Covina, CA 91723 Phone: 626-332-6234 Fax: 626-331-1264 | |
Dr. Christopher Randolph Betts, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 274 W Badillo St, Covina, CA 91723 Phone: 626-331-7369 Fax: 626-967-9869 | |
Heghine Helen Muradyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 N 3rd Ave Ste 303a, Covina, CA 91723 Phone: 313-577-9603 |