| Hara Podiatrists' Group, Inc. | |
| 
					1257 W. San Bernardino Rd, Covina, CA 91722-0980  | |
| (626) 331-7391 | |
| (626) 339-0613 | 
| Full Name | Hara Podiatrists' Group, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 1257 W. San Bernardino Rd, Covina, California | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194733204 | NPI | - | NPPES | 
| ZZZ49752Z | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | E3993 (California) | Primary | 
| Provider Name | Hratch Demirjian | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1265440366 PECOS PAC ID: 5698960185 Enrollment ID: I20101110000411  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hara Podiatrists' Group, Inc. Po Box 1980, Covina, CA 91722-0980 Ph: (626) 331-7391  | Hara Podiatrists' Group, Inc. 1257 W. San Bernardino Rd, Covina, CA 91722-0980 Ph: (626) 331-7391  | 
Dr. Hratch Demirjian, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1257 W San Bernardino Rd, Covina, CA 91722 Phone: 626-331-7391 Fax: 626-339-0613  | |
Jeffrey Jon Bruening, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 219 W Badillo St, Suite A, Covina, CA 91723 Phone: 626-915-8777 Fax: 626-915-8779  |