Dr Tyler Andrew Peterson, DO | |
1115 S Sunset Ave, West Covina, CA 91790-3940 | |
(626) 962-4011 | |
Not Available |
Full Name | Dr Tyler Andrew Peterson |
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Gender | Male |
Speciality | Family Medicine |
Location | 1115 S Sunset Ave, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124643960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A19747 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Hospitalist Network Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790880458 PECOS PAC ID: 8921990110 Enrollment ID: O20040324001749 |
Entity Name | Memorialcare Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
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Dr Tyler Andrew Peterson, DO 2040 S Santa Cruz St Ste 240, Anaheim, CA 92805-6805 Ph: (714) 202-2330 | Dr Tyler Andrew Peterson, DO 1115 S Sunset Ave, West Covina, CA 91790-3940 Ph: (626) 962-4011 |
Mohammed Yousuf Zaveri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8391 | |
John Quiamas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8390 | |
Rafael Nunez Gutierrez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1249 S Sunset Ave, West Covina, CA 91790 Phone: 180-078-0127 | |
Cynthia Chen-joea, D.O, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8391 | |
Dr. Hemalatha R Parekh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 N Sunset Ave, West Covina, CA 91790 Phone: 626-960-5461 Fax: 626-962-7199 | |
Dr. Lynn Amores, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 323-337-1886 | |
Dr. Adelaide Willis, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1500 W West Covina Pkwy, West Covina, CA 91790 Phone: 626-960-8614 Fax: 626-960-8624 |