| Jonathan Koe, | |
|
707 S Garfield Ave Fl 2, Alhambra, CA 91801-5859 | |
| (626) 282-1600 | |
| Not Available |
| Full Name | Jonathan Koe |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 707 S Garfield Ave Fl 2, Alhambra, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053177147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA64307 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Gabriel Valley Medical Center | San gabriel, CA | Hospital |
| Usc Arcadia Hospital | Arcadia, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Orthopaedic Medical Group Inc | 6204812670 | 12 |
| Entity Name | Pacific Orthopaedic Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194722801 PECOS PAC ID: 6204812670 Enrollment ID: O20040625001148 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Koe, 707 S Garfield Ave Fl 2, Alhambra, CA 91801-5859 Ph: Not Available | Jonathan Koe, 707 S Garfield Ave Fl 2, Alhambra, CA 91801-5859 Ph: (626) 282-1600 |
Jessica Lee Palmer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave Ste N10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Krystal Espinoza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |
Sonya Tang, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Garfield Ave, Alhambra, CA 91801 Phone: 626-289-5181 |
Jaspreet Kaur, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 South Fremont Avenue Unit 7, Bldg. A10, Ste.n10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Courtney Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 503 N Story Pl, Alhambra, CA 91801 Phone: 626-484-6732 |
Monica Khun, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1668 S Garfield Ave Fl 2, Alhambra, CA 91801 Phone: 626-943-6476 Fax: 626-900-9558 |
Jack Theodore Ezzedine, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |