| Mark Cole, PA | |
|
830 S Citrus Ave Ste 201, Azusa, CA 91702-5959 | |
| (626) 974-1441 | |
| (626) 974-1522 |
| Full Name | Mark Cole |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 830 S Citrus Ave Ste 201, Azusa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770761868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA14784 (California) | Primary |
| Entity Name | Algos Inc a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497747356 PECOS PAC ID: 8123917713 Enrollment ID: O20040311001539 |
| Entity Name | Minghsun Liu MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518309368 PECOS PAC ID: 6608004775 Enrollment ID: O20140117000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Cole, PA 224 N Fair Oaks Ave Ste 300, Pasadena, CA 91103-3618 Ph: (626) 696-1400 | Mark Cole, PA 830 S Citrus Ave Ste 201, Azusa, CA 91702-5959 Ph: (626) 974-1441 |
Mr. Rene Philippe Baquet, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 223 S Murray Ave, Azusa, CA 91702 Phone: 626-969-4509 |
Mr. Jorge Luis Velazquez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 680 E Alosta Ave, Azusa, CA 91702 Phone: 626-812-9733 Fax: 626-812-9745 |
Charles Antig, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 284 Alder Ct, Azusa, CA 91702 Phone: 626-026-0074 |
Mrs. Hilda Azpeitia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 521 N Azusa Ave, Azusa, CA 91702 Phone: 626-818-6328 Fax: 626-334-4061 |