| Spark Healthcare | |
|
2712 San Gabriel Blvd Rosemead CA 91770-3256 | |
| (626) 701-6676 | |
| (626) 537-1819 |
| Full Name | Spark Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 2712 San Gabriel Blvd, Rosemead, California |
| Authorized Official Name and Position | Mary Cheng (PRESIDENT) |
| Authorized Official Contact | 6267016676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Healthcare 2712 San Gabriel Blvd Rosemead CA 91770-3256 Ph: (626) 701-6676 | Spark Healthcare 2712 San Gabriel Blvd Rosemead CA 91770-3256 Ph: (626) 701-6676 |
| NPI Number | 1710702253 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/22/2025 |
| Medicare PECOS PAC ID | 7416473129 |
|---|---|
| Medicare Enrollment ID | O20250425000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710702253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Peter H Win |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124040209 PECOS PAC ID: 3779528096 Enrollment ID: I20050627000727 |
| Provider Name | Mary M Cheng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477582849 PECOS PAC ID: 8123036381 Enrollment ID: I20060330000426 |
| Provider Name | Harold Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770508111 PECOS PAC ID: 0143361097 Enrollment ID: I20100429000159 |
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