| Gemma TH Ko,md. Inc. | |
|
4511 Rosemead Blvd Pico Rivera CA 90660-2032 | |
| (562) 692-3388 | |
| Not Available |
| Full Name | Gemma TH Ko,md. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4511 Rosemead Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Michele Mary Guzman (OFFICE MANAGER) |
| Authorized Official Contact | 5626923388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemma TH Ko,md. Inc. 4511 Rosemead Blvd Pico Rivera CA 90660-2032 Ph: (562) 692-3388 | Gemma TH Ko,md. Inc. 4511 Rosemead Blvd Pico Rivera CA 90660-2032 Ph: (562) 692-3388 |
| NPI Number | 1184633620 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 2567406168 |
|---|---|
| Medicare Enrollment ID | O20050614001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184633620 | NPI | - | NPPES |
| 00G708660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G70866 (California) | Primary |
| Provider Name | Gemma TH Ko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437167715 PECOS PAC ID: 2163428475 Enrollment ID: I20070108000566 |
| Provider Name | Khalid Nur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235147521 PECOS PAC ID: 6608872916 Enrollment ID: I20070621000521 |
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