| Center Of Regenerative Medicine Physician Assistant Services Inc | |
|
18710 Amar Rd Ste A Walnut CA 91789-4571 | |
| (626) 522-6553 | |
| Not Available |
| Full Name | Center Of Regenerative Medicine Physician Assistant Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18710 Amar Rd Ste A, Walnut, California |
| Authorized Official Name and Position | Craig L Chase (PRESIDENT) |
| Authorized Official Contact | 6265226553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Regenerative Medicine Physician Assistant Services Inc 18710 Amar Rd Ste A Walnut CA 91789-4571 Ph: (626) 522-6553 | Center Of Regenerative Medicine Physician Assistant Services Inc 18710 Amar Rd Ste A Walnut CA 91789-4571 Ph: (626) 522-6553 |
| NPI Number | 1205342417 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 7416219043 |
|---|---|
| Medicare Enrollment ID | O20180320001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205342417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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