| California Diabetes And Hormone Specialists, Inc. | |
|
228 E Foothill Blvd Arcadia CA 91006-2508 | |
| (626) 821-5300 | |
| Not Available |
| Full Name | California Diabetes And Hormone Specialists, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 228 E Foothill Blvd, Arcadia, California |
| Authorized Official Name and Position | Irene Tan Gaw Lai (CEO) |
| Authorized Official Contact | 6268215300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Diabetes And Hormone Specialists, Inc. 228 E Foothill Blvd Arcadia CA 91006-2508 Ph: (626) 821-5300 | California Diabetes And Hormone Specialists, Inc. 228 E Foothill Blvd Arcadia CA 91006-2508 Ph: (626) 821-5300 |
| NPI Number | 1063434033 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 7517902315 |
|---|---|
| Medicare Enrollment ID | O20050622000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063434033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A64475 (California) | Primary |
| Provider Name | Irene Tan Gaw Gonzalo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679558035 PECOS PAC ID: 1355392192 Enrollment ID: I20050209000251 |
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