| Pocketrn Care Group Inc | |
|
617 W Olive Ave Monrovia CA 91016-3240 | |
| (808) 230-1795 | |
| Not Available |
| Full Name | Pocketrn Care Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 617 W Olive Ave, Monrovia, California |
| Authorized Official Name and Position | Samuel Crandall Thomas (PRESIDENT) |
| Authorized Official Contact | 8017181997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocketrn Care Group Inc 901 H St Ne Apt 750 Washington DC 20002-7057 Ph: (808) 230-1795 | Pocketrn Care Group Inc 617 W Olive Ave Monrovia CA 91016-3240 Ph: (808) 230-1795 |
| NPI Number | 1932975257 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 8426495045 |
|---|---|
| Medicare Enrollment ID | O20240319001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932975257 | NPI | - | NPPES |
| Provider Name | Samuel Crandall Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679928378 PECOS PAC ID: 1951667492 Enrollment ID: I20191007000347 |
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