| Dr Matthew Mo Md A Professional Corporation | |
|
2140 W Valley Blvd Alhambra CA 91803-1926 | |
| (626) 284-8881 | |
| (626) 284-6805 |
| Full Name | Dr Matthew Mo Md A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2140 W Valley Blvd, Alhambra, California |
| Authorized Official Name and Position | Matthew K Mo (PRESIDENT) |
| Authorized Official Contact | 6262848881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Mo Md A Professional Corporation 2140 W Valley Blvd Alhambra CA 91803-1926 Ph: (626) 284-8881 | Dr Matthew Mo Md A Professional Corporation 2140 W Valley Blvd Alhambra CA 91803-1926 Ph: (626) 284-8881 |
| NPI Number | 1912374950 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 2163738816 |
|---|---|
| Medicare Enrollment ID | O20150826002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912374950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A37444 (California) | Primary |
| 208600000X | Surgery | A37444 (California) | Secondary |
| Provider Name | Matthew K Mo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306919899 PECOS PAC ID: 4486841210 Enrollment ID: I20101206001263 |
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