Elaine Roh, MD | |
1770 N Orange Grove Ave Ste 101, Pomona, CA 91767-3027 | |
(909) 469-9494 | |
(909) 469-2120 |
Full Name | Elaine Roh |
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Gender | Female |
Speciality | Family Medicine - Geriatric Medicine |
Location | 1770 N Orange Grove Ave Ste 101, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033614722 | NPI | - | NPPES |
1033614722 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A164766 (California) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | A164766 (California) | Primary |
Entity Name | Premier Family Medicine Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912907114 PECOS PAC ID: 4284547522 Enrollment ID: O20031111000889 |
Mailing Address | Practice Location Address |
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Elaine Roh, MD 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767-3027 Ph: (909) 469-9494 | Elaine Roh, MD 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767-3027 Ph: (909) 469-9494 |
Mohamed Elsharkawy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120 | |
Mr. Wilbert Timothy Tsai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581 Fax: 909-623-1751 | |
Christopher Joseph Edward Harper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 E Artesia St Ste 220, Pomona, CA 91767 Phone: 909-865-1020 Fax: 909-620-1090 | |
Dr. Steven A Destefano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3801 W Temple Ave, 46, Pomona, CA 91768 Phone: 909-869-4000 Fax: 909-869-4561 | |
Christine Kwon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120 | |
April Michelle Ford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E Bonita Ave, 2nd Floor, Pomona, CA 91767 Phone: 909-447-8585 Fax: 909-447-8593 | |
Keith Kusunis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120 |