| United Family Physicians, Inc. | |
|
210 S Grand Ave Suite 415 Glendora CA 91741-4205 | |
| (626) 335-3627 | |
| (626) 335-4806 |
| Full Name | United Family Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 210 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | Paul Cherney Moya (PRESIDENT) |
| Authorized Official Contact | 6263353627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Family Physicians, Inc. 210 S Grand Ave Suite 415 Glendora CA 91741-4205 Ph: (626) 335-3627 | United Family Physicians, Inc. 210 S Grand Ave Suite 415 Glendora CA 91741-4205 Ph: (626) 335-3627 |
| NPI Number | 1760738066 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 11/20/2017 |
| Medicare PECOS PAC ID | 4082866025 |
|---|---|
| Medicare Enrollment ID | O20121220000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760738066 | NPI | - | NPPES |
| GU409A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul Cherney Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973699 PECOS PAC ID: 1557559648 Enrollment ID: I20101215000986 |
| Provider Name | Bao Khanh M Thai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386872489 PECOS PAC ID: 6103097431 Enrollment ID: I20130118000094 |
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