| Palliative Medical Associates Of California | |
|
1343 N Grand Ave Suite 100 Covina CA 91724-4020 | |
| (877) 868-4827 | |
| (877) 283-0663 |
| Full Name | Palliative Medical Associates Of California |
|---|---|
| Speciality | Internal Medicine |
| Location | 1343 N Grand Ave, Covina, California |
| Authorized Official Name and Position | Nicholas M Westfall (CEO) |
| Authorized Official Contact | 5136182230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative Medical Associates Of California 1343 N Grand Ave Suite 100 Covina CA 91724-4020 Ph: (877) 868-4827 | Palliative Medical Associates Of California 1343 N Grand Ave Suite 100 Covina CA 91724-4020 Ph: (877) 868-4827 |
| NPI Number | 1780973024 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Medicare PECOS PAC ID | 4385819812 |
|---|---|
| Medicare Enrollment ID | O20111213000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780973024 | NPI | - | NPPES |
| Provider Name | Steven A Floum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194755660 PECOS PAC ID: 5092779785 Enrollment ID: I20041112000607 |
| Provider Name | Lawrence P Bonaldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379796 PECOS PAC ID: 5991730830 Enrollment ID: I20050929000661 |
| Provider Name | Mahmood A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396759536 PECOS PAC ID: 9739185331 Enrollment ID: I20061004000368 |
| Provider Name | Michael Cortez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992887970 PECOS PAC ID: 7517002272 Enrollment ID: I20100305000047 |
| Provider Name | Faith R Protsman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912980012 PECOS PAC ID: 9335265222 Enrollment ID: I20100928001692 |
| Provider Name | Bruce M Schlecter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437125838 PECOS PAC ID: 3476738006 Enrollment ID: I20110426000556 |
| Provider Name | Travis David Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265901870 PECOS PAC ID: 0840533949 Enrollment ID: I20190513001116 |
| Provider Name | Fnu Roohpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578210142 PECOS PAC ID: 7416325147 Enrollment ID: I20221130000629 |
| Provider Name | Tatyana Goldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881838001 PECOS PAC ID: 5799961330 Enrollment ID: I20230724002579 |
| Provider Name | Brandon Wolfeld |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932761970 PECOS PAC ID: 9739416694 Enrollment ID: I20230821000779 |
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