|
| |
|
461 W Badillo St, Covina, CA 91723 | |
| (626) 966-4469 | |
| (626) 915-8929 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 461 W Badillo St, Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881716405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 22763 (California) | Primary |
| Provider Name | Olman E Mata |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174688253 PECOS PAC ID: 6608924758 Enrollment ID: I20090430000059 |
| Mailing Address | Practice Location Address |
|---|---|
461 W Badillo St, Covina, CA 91723-1834 Ph: (626) 966-4469 | 461 W Badillo St, Covina, CA 91723 Ph: (626) 966-4469 |
Eddy Crypto Chiropractic Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 550 S Eremland Dr, Covina, CA 91723 Phone: 626-332-7829 Fax: 626-966-0235 | |
Mrs. Mary Ellen Wiesenfarth Simone, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 W San Bernardino Rd, Covina, CA 91723 Phone: 626-967-3553 Fax: 626-967-1523 | |
Olman Mata, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 461 W Badillo St, Covina, CA 91723 Phone: 626-966-4469 Fax: 626-915-8929 | |
Min Q Pan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5324 N Fairvalley Ave, Covina, CA 91722 Phone: 626-290-2125 | |
Dr. Jay R. Robbins, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 245 W Badillo St Ste E, Covina, CA 91723 Phone: 626-967-6461 Fax: 626-332-4264 | |
Richard L. Cruz, D.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 149 W College St, Covina, CA 91723 Phone: 626-966-9084 Fax: 626-966-9084 | |
Dr. Richard L. Cruz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 133 N Citrus Ave Ste 201, Covina, CA 91723 Phone: 626-966-9084 Fax: 626-966-9084 |