| Joshua Kritsada Koh A Professional Psychiatric Corporation | |
|
1173 N Dixie Dr Suite 101 San Dimas CA 91773-1200 | |
| (909) 599-4422 | |
| (909) 599-5577 |
| Full Name | Joshua Kritsada Koh A Professional Psychiatric Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1173 N Dixie Dr, San Dimas, California |
| Authorized Official Name and Position | Joshua Kritsada Koh (PROPIETOR) |
| Authorized Official Contact | 9095994422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Kritsada Koh A Professional Psychiatric Corporation 2058 N Mills Ave #518 Claremont CA 91711-2812 Ph: (909) 599-4422 | Joshua Kritsada Koh A Professional Psychiatric Corporation 1173 N Dixie Dr Suite 101 San Dimas CA 91773-1200 Ph: (909) 599-4422 |
| NPI Number | 1114249240 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 11/03/2010 |
| Medicare PECOS PAC ID | 8527014992 |
|---|---|
| Medicare Enrollment ID | O20101112000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114249240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A50936 (California) | Primary |
| Provider Name | Joshua K Koh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871609271 PECOS PAC ID: 6901968288 Enrollment ID: I20081219000525 |
Mckinley- Private Pay Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227 | |
Trinity Thrive Marriage And Family Therapy Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 358 E Bonita Ave Ste B, San Dimas, CA 91773 Phone: 909-413-4814 | |
Maureen Mcgarty, Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 531 San Marcos Road, San Dimas, CA 91773 Phone: 706-340-6131 | |
Glenn L Abrams Marriage, Family, & Child Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 448 E Foothill Blvd Ste 208, San Dimas, CA 91773 Phone: 909-718-9354 Fax: 909-274-7207 | |
Bonita Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 Phone: 909-592-4152 Fax: 909-592-2912 | |
Foothills Neurological Medical Gp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd, #103, San Dimas, CA 91773 Phone: 909-592-2145 Fax: 909-599-6217 |