| Golden Care Health Ca | |
|
1000 S Fremont Ave # 13114 Alhambra CA 91803-8800 | |
| (866) 305-0622 | |
| Not Available |
| Full Name | Golden Care Health Ca |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 S Fremont Ave # 13114, Alhambra, California |
| Authorized Official Name and Position | Chris Kirby (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 3015652250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Care Health Ca 3701 Shoreline Dr # 210 Wayzata MN 55391-9591 Ph: () - | Golden Care Health Ca 1000 S Fremont Ave # 13114 Alhambra CA 91803-8800 Ph: (866) 305-0622 |
| NPI Number | 1649036088 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Medicare PECOS PAC ID | 9133569718 |
|---|---|
| Medicare Enrollment ID | O20240430001350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649036088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ajit Nandkumar Chary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20240206001620 |
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