| Colina Medical Associates, Inc. | |
|
255 E Bonita Ave Pomona CA 91767-1923 | |
| (909) 450-0170 | |
| (909) 596-0153 |
| Full Name | Colina Medical Associates, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 255 E Bonita Ave, Pomona, California |
| Authorized Official Name and Position | Christopher Chalian (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9097068686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colina Medical Associates, Inc. 255 E Bonita Ave Pomona CA 91767-1923 Ph: (909) 450-0170 | Colina Medical Associates, Inc. 255 E Bonita Ave Pomona CA 91767-1923 Ph: (909) 450-0170 |
| NPI Number | 1710321856 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 04/19/2013 |
| Medicare PECOS PAC ID | 1759511165 |
|---|---|
| Medicare Enrollment ID | O20140305000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710321856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | A45892 (California) | Primary |
| Provider Name | Daniel Skenderian |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1639235138 PECOS PAC ID: 5991847089 Enrollment ID: I20100128000143 |
| Provider Name | Emily Beth Fine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578849287 PECOS PAC ID: 8224290317 Enrollment ID: I20120508000016 |
| Provider Name | Elizabeth Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619102100 PECOS PAC ID: 9335386465 Enrollment ID: I20130509000447 |
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