Mr Miguel Isleta Domingo, MD | |
512 S Glendora Ave, West Covina, CA 91790-3022 | |
(626) 337-2888 | |
(626) 337-2670 |
Full Name | Mr Miguel Isleta Domingo |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 42 Years |
Location | 512 S Glendora Ave, West Covina, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538248166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A537660 (California) | Primary |
208000000X | Pediatrics | A537660 (California) | Primary |
Entity Name | Active Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699955575 PECOS PAC ID: 2466415823 Enrollment ID: O20041105001040 |
Entity Name | Clinica Medica Centro Hispano Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730360579 PECOS PAC ID: 5092897892 Enrollment ID: O20080201000326 |
Mailing Address | Practice Location Address |
---|---|
Mr Miguel Isleta Domingo, MD 512 S Glendora Ave, West Covina, CA 91790-3022 Ph: (626) 337-2888 | Mr Miguel Isleta Domingo, MD 512 S Glendora Ave, West Covina, CA 91790-3022 Ph: (626) 337-2888 |
Dr. Santosh Kumar Garg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1535 W Merced Ave, #300, West Covina, CA 91790 Phone: 626-962-8122 Fax: 626-962-8408 | |
Dr. Perpetua Alegrado Lawas-alejo, Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave, West Covina, CA 91790 Phone: 626-813-3716 | |
Jose Camacho, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 409 E Merced Ave Ste A, West Covina, CA 91790 Phone: 858-699-7726 Fax: 858-793-5640 | |
Dr. Kum S Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1433 W Merced Ave, Suite 217, West Covina, CA 91790 Phone: 626-917-1924 Fax: 626-337-8434 | |
Dr. Clark Ochikubo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave, Suite 406, West Covina, CA 91790 Phone: 626-813-3716 Fax: 626-813-3720 | |
Harbhajan Kalsi Hanjan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 South Sunset Ave, Suite 105, West Covina, CA 91790 Phone: 626-962-4474 Fax: 626-851-9192 | |
Dr. Pankaj Nanubhai Mistry, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 101, West Covina, CA 91790 Phone: 626-919-5437 Fax: 626-919-5439 |