| Dr Tyler Andrew Peterson, DO | |
|
1115 S Sunset Ave, West Covina, CA 91790-3940 | |
| (626) 962-4011 | |
| Not Available |
| Full Name | Dr Tyler Andrew Peterson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1115 S Sunset Ave, West 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 |
|---|---|---|---|
| 1124643960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A19747 (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 Hospitalist Network Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790880458 PECOS PAC ID: 8921990110 Enrollment ID: O20040324001749 |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Andrew Peterson, DO 2040 S Santa Cruz St Ste 240, Anaheim, CA 92805-6805 Ph: (714) 202-2330 | Dr Tyler Andrew Peterson, DO 1115 S Sunset Ave, West Covina, CA 91790-3940 Ph: (626) 962-4011 |
Mohammed Yousuf Zaveri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8391 | |
Christy Ying Li, NURSE PRACTITIONER Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3202 E Vermillion St, West Covina, CA 91792 Phone: 626-592-7288 | |
John Quiamas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8390 | |
Rafael Nunez Gutierrez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1249 S Sunset Ave, West Covina, CA 91790 Phone: 180-078-0127 | |
Cynthia Chen-joea, D.O, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8391 | |
Dr. Hemalatha R Parekh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 N Sunset Ave, West Covina, CA 91790 Phone: 626-960-5461 Fax: 626-962-7199 | |
Dr. Lynn Amores, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 323-337-1886 |