Dr Lance Jeffrey Fenton, DC | |
1437 Huntington Dr, South Pasadena, CA 91030-4512 | |
(626) 403-0030 | |
(626) 403-0040 |
Full Name | Dr Lance Jeffrey Fenton |
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Gender | Male |
Speciality | Chiropractor |
Location | 1437 Huntington Dr, South Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104829662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 27225 (California) | Primary |
Provider Name | Goodlife Physical Medicine Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891152781 PECOS PAC ID: 0446542922 Enrollment ID: O20160722001710 |
Mailing Address | Practice Location Address |
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Dr Lance Jeffrey Fenton, DC 1437 Huntington Dr, South Pasadena, CA 91030-4512 Ph: (626) 403-0030 | Dr Lance Jeffrey Fenton, DC 1437 Huntington Dr, South Pasadena, CA 91030-4512 Ph: (626) 403-0030 |
Mr. Philemon Lie Man Tam, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1826 Fremont Ave, South Pasadena, CA 91030 Phone: 626-441-2179 Fax: 626-799-5621 | |
Eva Liu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1426 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-400-8019 | |
Dr. Christine Sue Smith, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1017 Fremont Ave, Suite A, South Pasadena, CA 91030 Phone: 626-441-4888 Fax: 626-441-5680 | |
Elaine Thornton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 899 El Centro St Ste 213, South Pasadena, CA 91030 Phone: 781-267-6470 | |
Joseph Anthony Aldana Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1499 Huntington Dr Ste 301, South Pasadena, CA 91030 Phone: 626-817-1050 Fax: 626-270-4894 |