| Dr Lourdes Minaya, MD | |
|
250 W San Jose Ave, Claremont, CA 91711-5207 | |
| (888) 750-0036 | |
| Not Available |
| Full Name | Dr Lourdes Minaya |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 250 W San Jose Ave, Claremont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366654790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A100894 (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 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lourdes Minaya, MD 250 W San Jose Ave, Claremont, CA 91711-5207 Ph: () - | Dr Lourdes Minaya, MD 250 W San Jose Ave, Claremont, CA 91711-5207 Ph: (888) 750-0036 |
Marcia Ann Hyvarinen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 774 Via Espirito Santos St, Claremont, CA 91711 Phone: 909-626-7076 Fax: 909-398-7079 | |
Glenn Yukio Miya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 W Baseline Rd, Claremont, CA 91711 Phone: 909-621-3916 Fax: 909-625-0903 |