| Family Practice Medical Services, Inc. | |
|
274 W Badillo St Covina CA 91723-1906 | |
| (626) 331-7369 | |
| Not Available |
| Full Name | Family Practice Medical Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 274 W Badillo St, Covina, California |
| Authorized Official Name and Position | Randolph Betts (PRESIDENT) |
| Authorized Official Contact | 6263317369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Medical Services, Inc. Po Box 801463 Santa Clarita CA 91380-1463 Ph: (661) 295-0859 | Family Practice Medical Services, Inc. 274 W Badillo St Covina CA 91723-1906 Ph: (626) 331-7369 |
| NPI Number | 1700027661 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Medicare PECOS PAC ID | 1456483585 |
|---|---|
| Medicare Enrollment ID | O20100724000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700027661 | NPI | - | NPPES |
| A25707 | Other | CA | STATE LICENSE OF PRESIDENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A25707 (California) | Primary |
| 208D00000X | General Practice | A25707 (California) | Secondary |
| Provider Name | Randolph J Betts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932113685 PECOS PAC ID: 9537252374 Enrollment ID: I20100728000897 |
Hani Hashem, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 546 W Badillo St Ste D, Covina, CA 91722 Phone: 626-331-2222 Fax: 626-331-2233 | |
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Thomas T. Ha, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 W Badillo St, Suite E, Covina, CA 91722 Phone: 626-858-5370 | |
Covina Surgery Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 W College St Ste 200, Covina, CA 91723 Phone: 323-982-0004 | |
East San Gabriel Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 N Grand Ave, Covina, CA 91724 Phone: 626-430-2900 Fax: 626-331-0035 | |
Healthy Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 W Badillo St, Covina, CA 91723 Phone: 626-332-6234 Fax: 626-331-1264 |