Dr John Kennedy Tannous, MD | |
3401 Aero Jet Ave, El Monte, CA 91731-2801 | |
(626) 286-8700 | |
(626) 286-8650 |
Full Name | Dr John Kennedy Tannous |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3401 Aero Jet Ave, El Monte, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164775912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 23959 (Arizona) | Secondary |
208000000X | Pediatrics | 036.130885 (Illinois) | Secondary |
208000000X | Pediatrics | G172994 (California) | Primary |
Entity Name | Lawndale Christian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
Mailing Address | Practice Location Address |
---|---|
Dr John Kennedy Tannous, MD 3401 Aero Jet Ave, El Monte, CA 91731-2801 Ph: (626) 286-8700 | Dr John Kennedy Tannous, MD 3401 Aero Jet Ave, El Monte, CA 91731-2801 Ph: (626) 286-8700 |
Dr. Henedina Liban, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10953 Ramona Blvd, El Monte, CA 91731 Phone: 626-579-8463 | |
Sandy Soonchung Koh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 Peck Rd, El Monte, CA 91733 Phone: 626-350-2196 | |
Dr. Savita D Datta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9320 Telstar Avenue, El Monte, CA 91731 Phone: 626-569-6464 Fax: 626-569-9346 | |
Mary Doyle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9320 Telstar Ave, Suite 226, El Monte, CA 91731 Phone: 626-569-6484 | |
Dr. Rekha Sachdeva, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 3236 Santa Anita Ave, El Monte, CA 91733 Phone: 626-459-5420 Fax: 626-444-4511 | |
Dr. Oscar S. Devera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3208 Santa Anita Ave, 200, El Monte, CA 91733 Phone: 626-454-1990 Fax: 626-454-1995 |