| Krekor a Tomassian MD a Prof Corp | |
|
415 W Rout 66 201 Glendora CA 91740 | |
| (626) 963-0900 | |
| (626) 963-9663 |
| Full Name | Krekor a Tomassian MD a Prof Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 415 W Rout 66, Glendora, California |
| Authorized Official Name and Position | Krekor a Tomassian (PHYSICIAN) |
| Authorized Official Contact | 6269630900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krekor a Tomassian MD a Prof Corp 415 W Rout 66 201 Glendora CA 91740 Ph: (626) 963-0900 | Krekor a Tomassian MD a Prof Corp 415 W Rout 66 201 Glendora CA 91740 Ph: (626) 963-0900 |
| NPI Number | 1700109519 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 12/20/2010 |
| Medicare PECOS PAC ID | 9133317324 |
|---|---|
| Medicare Enrollment ID | O20110104000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700109519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Krekor Tomassian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891807673 PECOS PAC ID: 4486842671 Enrollment ID: I20110104000221 |
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