Tanner Calvin Harrah, DO | |
1334 W Covina Blvd Ste 105, San Dimas, CA 91773-3211 | |
(909) 599-0881 | |
Not Available |
Full Name | Tanner Calvin Harrah |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 8 Years |
Location | 1334 W Covina Blvd Ste 105, San Dimas, 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 |
---|---|---|---|
1992169437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 20A15819 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sure Care Health Care Services | Covina, CA | Home health agency |
San Dimas Community Hospital | San dimas, CA | Hospital |
Chino Valley Medical Center | Chino, CA | Hospital |
Emanate Health Foothill Presbyterian Hospital | Glendora, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Orthopedic Associates Medical Group Inc. | 2961452032 | 3 |
Entity Name | Paul Bouz Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780779736 PECOS PAC ID: 2961452032 Enrollment ID: O20050126000689 |
Mailing Address | Practice Location Address |
---|---|
Tanner Calvin Harrah, DO 1334 W Covina Blvd Ste 105, San Dimas, CA 91773-3211 Ph: (909) 599-0881 | Tanner Calvin Harrah, DO 1334 W Covina Blvd Ste 105, San Dimas, CA 91773-3211 Ph: (909) 599-0881 |
Dr. Richard Lloyd Malinick, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1125 Via Verde, San Dimas, CA 91773 Phone: 909-592-8170 Fax: 909-599-0750 | |
William C Hanes, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1334 W Covina Blvd, Ste 105, San Dimas, CA 91773 Phone: 909-599-0881 Fax: 909-394-0701 | |
Paul Bouz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1334 W Covina Blvd, Ste 105, San Dimas, CA 91773 Phone: 909-599-0881 Fax: 909-394-0701 | |
Michael Anthony Puniak, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1334 W Covina Blvd, Ste 105, San Dimas, CA 91773 Phone: 909-599-0881 Fax: 909-394-0701 |