| Paul Coriolan, PAC | |
|
100 W California Blvd, Pasadena, CA 91105-3010 | |
| (626) 397-5116 | |
| (626) 397-2981 |
| Full Name | Paul Coriolan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 100 W California Blvd, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285686162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA13933 (California) | Primary |
| Entity Name | Culver Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699907923 PECOS PAC ID: 0244378677 Enrollment ID: O20091105000182 |
| Entity Name | Can Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
| Entity Name | Medison Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760050587 PECOS PAC ID: 6103229000 Enrollment ID: O20210729003556 |
| Entity Name | Concertocare Medical Group of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922777259 PECOS PAC ID: 1850782186 Enrollment ID: O20211221002909 |
| Entity Name | Monogram Health Professional Services of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245950757 PECOS PAC ID: 2961871223 Enrollment ID: O20221207002970 |
| Entity Name | Integrated Allied Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649970740 PECOS PAC ID: 6204293228 Enrollment ID: O20230607001430 |
| Entity Name | Clinica Monsignor Oscar A. Romero |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275629495 PECOS PAC ID: 2264490218 Enrollment ID: O20230815003521 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Coriolan, PAC P.o. Box 60259, Los Angeles, CA 90060-0259 Ph: (626) 447-0296 | Paul Coriolan, PAC 100 W California Blvd, Pasadena, CA 91105-3010 Ph: (626) 397-5116 |
Maria Thi Trinh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 473 N Fair Oaks Ave, Pasadena, CA 91103 Phone: 626-792-2378 |
Katrena Hovsepian, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1755 Oakwood St, Pasadena, CA 91104 Phone: 818-726-8876 |
Stephanie Schwartz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Congress St Ste 103, Pasadena, CA 91105 Phone: 626-796-6164 Fax: 626-796-0883 |
Danica Nevart Tashjian, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 S Fair Oaks Ave Ste A, Pasadena, CA 91105 Phone: 626-449-1814 |
Kimia Nowbari, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 595 E Colorado Blvd Ste 602, Pasadena, CA 91101 Phone: 626-765-6704 |
Alexandra Brooke Spooner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 625 S Fair Oaks Ave Ste 270, Pasadena, CA 91105 Phone: 424-314-0177 Fax: 424-314-0180 |
Mr. Tony Wai Tiu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 680 E Colorado Blvd Ste 180, Pasadena, CA 91101 Phone: 626-244-8200 |