| Tanner Calvin Harrah, DO | |
|
1334 W Covina Blvd Ste 105, San Dimas, CA 91773-3211 | |
| (909) 599-0881 | |
| Not Available |
| Full Name | Tanner Calvin Harrah |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 10 Years |
| Location | 1334 W Covina Blvd Ste 105, San Dimas, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992169437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 20A15819 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Dimas Community Hospital | San dimas, CA | Hospital |
| Chino Valley Medical Center | Chino, CA | Hospital |
| Entity Name | Valley Orthopedic Associates Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780779736 PECOS PAC ID: 2961452032 Enrollment ID: O20050126000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Calvin Harrah, DO 1334 W Covina Blvd Ste 105, San Dimas, CA 91773-3211 Ph: (909) 599-0881 | Tanner Calvin Harrah, DO 1334 W Covina Blvd Ste 105, San Dimas, CA 91773-3211 Ph: (909) 599-0881 |
Dr. Richard Lloyd Malinick, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1125 Via Verde, San Dimas, CA 91773 Phone: 909-592-8170 Fax: 909-599-0750 | |
William C Hanes, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1334 W Covina Blvd, Ste 105, San Dimas, CA 91773 Phone: 909-599-0881 Fax: 909-394-0701 | |
Paul Bouz, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1334 W Covina Blvd, Ste 105, San Dimas, CA 91773 Phone: 909-599-0881 Fax: 909-394-0701 | |
Michael Anthony Puniak, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1334 W Covina Blvd, Ste 105, San Dimas, CA 91773 Phone: 909-599-0881 Fax: 909-394-0701 |