| Irina V Kolomey D O | |
|
1808 San Miguel Dr Walnut Creek CA 94596-8606 | |
| (925) 528-2663 | |
| Not Available |
| Full Name | Irina V Kolomey D O |
|---|---|
| Speciality | Internal Medicine |
| Location | 1808 San Miguel Dr, Walnut Creek, California |
| Authorized Official Name and Position | Irina Victor Kolomey (PRESIDENT) |
| Authorized Official Contact | 9253633395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irina V Kolomey D O 1808 San Miguel Dr Walnut Creek CA 94596-8606 Ph: (925) 363-3395 | Irina V Kolomey D O 1808 San Miguel Dr Walnut Creek CA 94596-8606 Ph: (925) 528-2663 |
| NPI Number | 1821779851 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 9436506250 |
|---|---|
| Medicare Enrollment ID | O20231115002077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821779851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Irina Kolomey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104062173 PECOS PAC ID: 0042342743 Enrollment ID: I20100715000696 |
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