Glenn Yukio Miya, MD | |
430 W Baseline Rd, Claremont, CA 91711-1607 | |
(909) 621-3916 | |
(909) 625-0903 |
Full Name | Glenn Yukio Miya |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 430 W Baseline Rd, Claremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912967894 | NPI | - | NPPES |
00G708760 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G70876 (California) | Primary |
Entity Name | Chaparral Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477733624 PECOS PAC ID: 6800709403 Enrollment ID: O20031110000605 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Chaparral Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093777666 PECOS PAC ID: 6800709403 Enrollment ID: O20040331001684 |
Mailing Address | Practice Location Address |
---|---|
Glenn Yukio Miya, MD 840 Towne Center Dr, Chaparral Medical Group, Pomona, CA 91767-5900 Ph: (909) 398-1550 | Glenn Yukio Miya, MD 430 W Baseline Rd, Claremont, CA 91711-1607 Ph: (909) 621-3916 |
Dr. Lourdes Minaya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 W San Jose Ave, Claremont, CA 91711 Phone: 888-750-0036 | |
Marcia Ann Hyvarinen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 774 Via Espirito Santos St, Claremont, CA 91711 Phone: 909-626-7076 Fax: 909-398-7079 |